scholarly journals 2019 Year in Review: Patient-Ventilator Synchrony

2020 ◽  
Vol 65 (4) ◽  
pp. 558-572
Author(s):  
Robert L Chatburn ◽  
Eduardo Mireles-Cabodevila
Keyword(s):  
2008 ◽  
Vol 34 (9) ◽  
pp. 1615-1623 ◽  
Author(s):  
Onnen Moerer ◽  
Jennifer Beck ◽  
Lukas Brander ◽  
Roberta Costa ◽  
Michael Quintel ◽  
...  

2011 ◽  
Vol 44 (1) ◽  
pp. 569-574
Author(s):  
Katherine T. Moorhead ◽  
Lise Piquilloud ◽  
Bernard Lambermont ◽  
Jean Roeseler ◽  
J. Geoffrey Chase ◽  
...  

2018 ◽  
pp. 67-71
Author(s):  
Christopher Galton

Treating persistent hypoxia while attempting to transport a patient from one health care setting to a destination facility can be one of the most stressful situations emergency medical services providers face. In some cases, the primarily pathology may not be well defined. This case reviews the approach to managing a critically ill patient who is mechanically ventilated and is being transferred to a quaternary center for continued management. The case works through a differential diagnosis of hypoxemia in a mechanically ventilated patient. It also includes dynamic adjustments of the ventilator to maximize success and reduce any potential iatrogenic complications. Finally, adequate sedation is pivotal to promote ventilator synchrony and patient comfort. This case illustrates the nuances of sedation and when neuromuscular blockade should be considered.


2018 ◽  
Vol 46 (1) ◽  
pp. 562-562
Author(s):  
Natalie Napolitano ◽  
Khair Jalal ◽  
Joseph McDonough ◽  
Heather Bosenstab ◽  
Kevin Dysart ◽  
...  

Complexity ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-15
Author(s):  
Liming Hao ◽  
Shuai Ren ◽  
Yan Shi ◽  
Na Wang ◽  
Yixuan Wang ◽  
...  

The synchrony of patient-ventilator interaction affects the process of mechanical ventilation which is clinically applied for respiratory support. The occurrence of patient-ventilator asynchrony (PVA) not only increases the risk of ventilator complications but also affects the comfort of patients. To solve the problem of uncertain patient-ventilator interaction in the mechanical ventilation system, a novel method to evaluate patient-ventilator synchrony is proposed in this article. Firstly, a pneumatic model is established to simulate the mechanical ventilation system, which is verified to be accurate by the experiments. Then, the PVA phenomena are classified and detected based on the analysis of the ventilator waveforms. On this basis, a novel synchrony index SIhao is established to evaluate the patient-ventilator synchrony. It not only solves the defects of previous evaluation indexes but also can be used as the response parameter in the future research of ventilator control algorithms. The accurate evaluation of patient-ventilator synchrony can be applied to the adjustment of clinical strategies and the pathological analyses of patients. This research can also reduce the burden on clinicians and help to realize the adaptive control of the mechanical ventilation and weaning process in the future.


2016 ◽  
Vol 62 (1) ◽  
pp. 22-33 ◽  
Author(s):  
T. Itagaki ◽  
C. T. Chenelle ◽  
D. J. Bennett ◽  
D. F. Fisher ◽  
R. M. Kacmarek

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