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Journal ArticleDOI

Patient-ventilator asynchrony during assisted mechanical ventilation

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TLDR
One-fourth of patients exhibit a high incidence of asynchrony during assisted ventilation, which is associated with a prolonged duration of mechanical ventilation and with excessive levels of ventilatory support.
Abstract
Objective The incidence, pathophysiology, and consequences of patient-ventilator asynchrony are poorly known. We assessed the incidence of patient-ventilator asynchrony during assisted mechanical ventilation and we identified associated factors.

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Citations
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Journal ArticleDOI

Oesophageal pressure as a surrogate of pleural pressure in mechanically ventilated patients.

TL;DR: In this article, a prospective physiological study on lung transplant recipients during their stay in the intensive care unit of a tertiary university hospital was carried out to compare oesophageal and regional pleural pressures and to calculate transpulmonary pressures.
Journal ArticleDOI

Preventing acute lung injury and acute respiratory distress syndrome: back to square one.

TL;DR: Findings suggest that the inhibition of platelets and their byproducts could control neutrophil aggregation and abort the process of platelet-generated mediators, the inflammatory process, and, ultimately, the evolution of ALI/ARDS.
Book ChapterDOI

Bedside Monitoring of Diaphragm Electrical Activity during Mechanical Ventilation

TL;DR: Although a large proportion of patients receive mechanical ventilation, it is still poorly understood how the ventilator settings should be adjusted to meet the demands of each individual patient.
Journal ArticleDOI

Settings and monitoring of mechanical ventilation during physical therapy in adult critically ill patients: protocol for a scoping review.

TL;DR: The aim of this review is to comprehensively map and summarise current knowledge on adjustments of respiratory support and respiratory or metabolic monitoring during physical therapy in adult critically ill mechanically ventilated patients.
Journal ArticleDOI

Validation of a Proposed Algorithm for Assistance Titration During Proportional Assist Ventilation With Load-Adjustable Gain Factors.

TL;DR: The proposed algorithm had limited accuracy in estimating inspiratory muscle effort and with indicating the appropriate level of assist and the sensitivity and specificity of peak Pmus to predict the range of the actual inspiratory effort was 81.2% and 58.1%, respectively.
References
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Journal ArticleDOI

The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine.

TL;DR: The ESICM developed a so-called sepsis-related organ failure assessment (SOFA) score to describe quantitatively and as objectively as possible the degree of organ dysfunction/failure over time in groups of patients or even in individual patients.
Journal ArticleDOI

A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study

J R Le Gall, +2 more
- 22 Dec 1993 - 
TL;DR: The SAPS II, based on a large international sample of patients, provides an estimate of the risk of death without having to specify a primary diagnosis, and is a starting point for future evaluation of the efficiency of intensive care units.
Journal ArticleDOI

Inspiratory Pressure Support Prevents Diaphragmatic Fatigue during Weaning from Mechanical Ventilation

TL;DR: Pressure support ventilation can assist spontaneous breathing and avoid diaphragmatic fatigue in patients demonstrating difficulties in weaning from the ventilator and clinical monitoring of sternocleidomastoid muscle activity allows the required level of pressure support to be determined to prevent fatigue.
Journal ArticleDOI

Ventilator-induced Diaphragmatic Dysfunction

TL;DR: This Critical Care Perspective defines the phenomenon, henceforth referred to as ventilatorinduced diaphragmatic dysfunction (VIDD), as a loss of diaphRAGmatic force-generating capacity that is specifically related to the use of mechanical ventilation.
Journal ArticleDOI

Impact of PEEP on lung mechanics and work of breathing in severe airflow obstruction

TL;DR: Low levels of PEEP may improve lung mechanics and reduce the effort required of mechanically ventilated patients with severe airflow obstruction, without substantially increasing the hazards of hyperinflation.
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