Patient-ventilator asynchrony during assisted mechanical ventilation

Intensive Care Medicine

Volumn 32, Issue 10, 2006, Pages 1515-1522

  Thille, Arnaud W ^a   Rodriguez, Pablo ^a   Cabello, Belen ^a   Lellouche, François ^a   Brochard, Laurent ^a  

^a FACULTÉ DE MÉDECINE   (France)

Author keywords

Ineffective triggering; Mechanical ventilation; Patient ventilator interaction; Pressure support ventilation

Indexed keywords

ADULT; AGED; AIRFLOW; AIRWAY PRESSURE; ARTICLE; ARTIFICIAL VENTILATION; ASSISTED VENTILATION; BREATHING PATTERN; BREATHING RATE; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL ASSESSMENT; PH MEASUREMENT; POSITIVE END EXPIRATORY PRESSURE; RESPIRATORY FUNCTION; TREATMENT DURATION; VENTILATOR;

AGED; CHI-SQUARE DISTRIBUTION; FEMALE; HUMANS; INTENSIVE CARE UNITS; LUNG; MALE; MIDDLE AGED; MONITORING, PHYSIOLOGIC; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL; SIGNAL PROCESSING, COMPUTER-ASSISTED; STATISTICS, NONPARAMETRIC;

EID: 33749237011     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-006-0301-8     Document Type: Article

References (29)

1. Vassilakopoulos T, Petrof BJ (2004) Ventilator-induced diaphragmatic dysfunction. Am J Respir Crit Care Med 169:336-341
2. Sassoon CS, Zhu E, Caiozzo VJ (2004) Assist-control mechanical ventilation attenuates ventilator-induced diaphragmatic dysfunction. Am J Respir Crit Care Med 170:626-632
3. Brochard L, Harf A, Lorino H, Lemaire F (1989) Inspiratory pressure support prevents diaphragmatic fatigue during weaning from mechanical ventilation. Am Rev Respir Dis 139:513-521
4. Sassoon CS, Foster GT (2001) Patient-ventilator asynchrony. Curr Opin Crit Care 7:28-33
5. Tobin MJ, Jubran A, Laghi F (2001) Patient-ventilator interaction. Am J Respir Crit Care Med 163:1059-1063
6. Parthasarathy S, Jubran A, Tobin MJ (1998) Cycling of inspiratory and expiratory muscle groups with the ventilator in airflow limitation. Am J Respir Crit Care Med 158:1471-1478
7. Beck J, Gottfried SB, Navalesi P, Skrobik Y, Comtois N, Rossini M, Sinderby C (2001) Electrical activity of the diaphragm during pressure support ventilation in acute respiratory failure. Am J Respir Crit Care Med 164:419-424
8. Leung P, Jubran A, Tobin MJ (1997) Comparison of assisted ventilator modes on triggering, patient effort, and dyspnea. Am J Respir Crit Care Med 155:1940-1948
9. Tokioka H, Tanaka T, Ishizu T, Fukushima T, Iwaki T, Nakamura Y, Kosogabe Y (2001) The effect of breath termination criterion on breathing patterns and the work of breathing during pressure support ventilation. Anesth Analg 92:161-165
10. Imanaka H, Nishimura M, Takeuchi M, Kimball WR, Yahagi N, Kumon K (2000) Autotriggering caused by cardiogenic oscillation during flow-triggered mechanical ventilation. Crit Care Med 28:402-407
11. Chao DC, Scheinhorn DJ, Stearn-Hassenpflug M (1997) Patient-ventilator trigger asynchrony in prolonged mechanical ventilation. Chest 112:1592-1599
12. Thille A, Lellouche F, Brochard L (2004) Patient-ventilator asynchrony during invasive mechanical ventilation: prevalence and risk factors. Intensive Care Med 30:A263
13. Deye N, Lellouche F, Maggiore S, Taille S, Lefrançàis F, Pignataro C, Fartoukh M, Harf A, Brochard L (2002) Influence of body posture on the effort to breathe in mechanically ventilated patients. Am J Respir Crit Care Med 165:A788
14. Vitacca M, Bianchi L, Zanotti E, Vianello A, Barbano L, Porta R, Clini E (2004) Assessment of physiologic variables and subjective comfort under different levels of pressure support ventilation. Chest 126:851-859
15. Giannouli E, Webster K, Roberts D, Younes M (1999) Response of ventilator-dependent patients to different levels of pressure support and proportional assist. Am J Respir Crit Care Med 159:1716-1725
16. Le Gall JR, Lemeshow S, Saulnier F (1993) A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA 270:2957-2963
17. Vincent JL, Moreno R, Takala J, Willatts S, De Mendonca A, Bruining H, Reinhart CK, Suter PM, Thijs LG (1996) 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. Intensive Care Med 22:707-710
18. Nava S, Bruschi C, Rubini F, Palo A, Iotti G, Braschi A (1995) Respiratory response and inspiratory effort during pressure support ventilation in COPD patients. Intensive Care Med 21:871-879
19. Fabry B, Guttmann J, Eberhard L, Bauer T, Haberthur C, Wolff G (1995) An analysis of desynchronization between the spontaneously breathing patient and ventilator during inspiratory pressure support. Chest 107:1387-1394
20. Smith TC, Marini JJ (1988) Impact of PEEP on lung mechanics and work of breathing in severe airflow obstruction. J Appl Physiol 65:1488-1499
21. Mancebo J, Albaladejo P, Touchard D, Bak E, Subirana M, Lemaire F, Harf A, Brochard L (2000) Airway occlusion pressure to titrate positive end-expiratory pressure in patients with dynamic hyperinflation. Anesthesiology 93:81-90
22. MacIntyre NR, Cheng KC, Mc-Connell R (1997) Applied PEEP during pressure support reduces the inspiratory threshold load of intrinsic PEEP. Chest 111:188-193
23. Nava S, Bruschi C, Fracchia C, Braschi A, Rubini F (1997) Patient-ventilator interaction and inspiratory effort during pressure support ventilation in patients with different pathologies. Eur Respir J 10:177-183
24. Javaheri S, Kazemi H (1987) Metabolic alkalosis and hypoventilation in humans. Am Rev Respir Dis 136:1011-1016
25. Aslanian P, El Atrous S, Isabey D, Valente E, Corsi D, Harf A, Lemaire F, Brochard L (1998) Effects of flow triggering on breathing effort during partial ventilatory support. Am J Respir Crit Care Med 157:135-143
26. Fanfulla F, Delmastro M, Berardinelli A, Lupo ND, Nava S (2005) Effects of different ventilator settings on sleep and inspiratory effort in patients with neuromuscular disease. Am J Respir Crit Care Med 172:619-624
27. Parthasarathy S, Jubran A, Tobin MJ (2000) Assessment of neural inspiratory time in ventilator-supported patients. Am J Respir Crit Care Med 162:546-552
28. Georgopoulos D, Prinianakis G, Kondili E (2006) Bedside waveforms interpretation as a tool to identify patient-ventilator asynchronies. Intensive Care Med 32:34-47
29. Richard JC, Carlucci A, Breton L, Langlais N, Jaber S, Maggiore S, Fougere S, Harf A, Brochard L (2002) Bench testing of pressure support ventilation with three different generations of ventilators. Intensive Care Med 28:1049-1057