Triggering of the ventilator in patient-ventilator interactions

Respiratory Care

Volumn 56, Issue 1, 2011, Pages 39-48

  Sassoon, Catherine S H ^a  

^a VA LONG BEACH HEALTHCARE SYSTEM   (United States)

Author keywords

Mechanical ventilation; Patient ventilator interaction; Positive pressure ventilation; Pressure control ventilation; Time constant; Ventilator triggering; Work of breathing

Indexed keywords

ARTICLE; ARTIFICIAL VENTILATION; BREATHING APPARATUS; BREATHING MUSCLE; BREATHING PATTERN; EQUIPMENT DESIGN; HUMAN; LUNG VENTILATION; PATIENT ASSESSMENT; PATIENT VENTILATOR INTERACTION; POSITIVE END EXPIRATORY PRESSURE; RESPIRATION CONTROL; RESPIRATORY AIRFLOW; RESPIRATORY CARE;

ALGORITHMS; HUMANS; INHALATION; PULMONARY VENTILATION; RESPIRATION, ARTIFICIAL; RESPIRATORY MECHANICS; VENTILATORS, MECHANICAL; WORK OF BREATHING;

EID: 78651395768     PISSN: 00201324     EISSN: 19433654     Source Type: Journal    
DOI: 10.4187/respcare.01006     Document Type: Article

References (29)

1. Sassoon CS. Mechanical ventilator design and function: the trigger variable. Respir Care 1992;37(9):1056-1069.
2. Sassoon CS, Giron AE, Ely EA, Light RW. Inspiratory work of breathing on flow-by and demand-flow continuous positive airway pressure. Crit Care Med 1989;17(11):1108-1114.
3. Prinianakis G, Kondili E, Georgopoulos D. Effects of the flow waveform method of triggering and cycling on patient-ventilator interaction during pressure support. Intensive Care Med 2003;29(11):1950-1959.
4. Thille AW, Rodriguez P, Cabello B, Lellouche F, Brochard L. Patient- ventilator asynchrony during assisted mechanical ventilation. Intensive Care Med 2006;32(10):1515-1522.
5. de Wit M, Miller KB, Green DA, Ostman HE, Gennings C, Epstein SK. Ineffective triggering predicts increased duration of mechanical ventilation. Crit Care Med 2009;37(10):2740-2745.
6. Thille AW, Cabello B, Galia F, Lyazidi A, Brochard L. Reduction of patient-ventilator asynchrony by reducing tidal volume during pressure- support ventilation. Intensive Care Med 2008;34(8):1477-1486.
7. de Wit M, Pedram S, Best AM, Epstein SK. Observational study of patient-ventilator asynchrony and relationship to sedation level. J Crit Care 2009;24(1):74-80.
8. Lellouche F, Mancebo J, Jolliet P, Roeseler J, Schortgen F, Dojat M, et al. A multicenter randomized trial of computer-driven protocolized weaning from mechanical ventilation. Am J Respir Crit Care Med 2006;174(8):894-900.
9. Burns KE, Lellouche F, Lessard MR. Automating the weaning process with advanced closed-loop systems. Intensive Care Med 2008; 34(10):1757-1765.
10. Thille AW, Lyazidi A, Richard JC, Galia F, Brochard L. A bench study of intensive-care-unit ventilators: new versus old and turbinebased versus compressed gas-based ventilators. Intensive Care Med 2009;35(8):1368-1376.
11. Richard JC, Carlucci A, Breton L, Langlais N, Jaber S, Maggiore S, et al. Bench testing of pressure support ventilation with three different generations of ventilators. Intensive Care Med 2002;28(8):1049-1057.
12. Leung P, Jubran A, Tobin MJ. Comparison of assisted ventilator modes on triggering, patient effort, and dyspnea. Am J Respir Crit Care Med 1997;155(6):1940-1948.
13. Chiumello D, Pelosi P, Croci M, Bigatello LM, Gattinoni L. The effects of pressurization rate on breathing pattern, work of breathing, gas exchange and patient comfort in pressure support ventilation. Eur Respir J 2001;18(1):107-114.
14. Manning HL, Molinary EJ, Leiter JC. Effect of inspiratory flow rate on respiratory sensation and pattern of breathing. Am J Respir Crit Care Med 1995;151(3 Pt 1):751-757.
15. Chiumello D, Pelosi P, Taccone P, Slutsky A, Gattinoni L. Effect of different inspiratory rise time and cycling off criteria during pressure support ventilation in patients recovering from acute lung injury. Crit Care Med 2003;31(11):2604-2610.
16. Chiumello D, Polli F, Tallarini F, Chierichetti M, Motta G, Azzari S, et al. Effect of different cycling-off criteria and positive end-expiratory pressure during pressure support ventilation in patients with chronic obstructive pulmonary disease. Crit Care Med 2007;35(11):2547-2552.
17. Tom LR, Sassoon CSH. Patient-ventilator interactions. In: MacIntyre NR, Branson RD editors. Mechanical ventilation, 2nd edition. Philadelphia: Elsevier; 2009:182-197.
18. Puddy A, Patrick W, Webster K, Younes M. Respiratory control during volume-cycled ventilation in normal humans. J Appl Physiol 1996;80(5):1749-1758.
19. Laghi F, Segal J, Choe WK, Tobin MJ. Effect of imposed inflation time on respiratory frequency and hyperinflation in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2001;163(6):1365-1370.
20. Georgopoulos D, Mitrouska I, Webster K, Bshouty Z, Younes M. Effects of inspiratory muscle unloading on the response of respiratory motor output to CO2. Am J Respir Crit Care Med 1997;155(6):2000-2009.
21. Nava S, Bruschi C, Rubini F, Palo A, Iotti G, Braschi A. Respiratory response and inspiratory effort during pressure support ventilation in COPD patients. Intensive Care Med 1995;21(11):871-879.
22. Chao DC, Scheinhorn DJ, Stearn-Hassenpflug M. Patient-ventilator trigger asynchrony in prolonged mechanical ventilation. Chest 1997; 112(6):1592-1599.
23. Tassaux D, Gainnier M, Battisti A, Jolliet P. Impact of expiratory trigger setting on delayed cycling and inspiratory muscle workload. Am J Respir Crit Care Med 2005;172(10):1283-1289.
24. Tokioka H, Tanaka T, Ishizu T, Fukushima T, Iwaki T, Nakamura Y, Kosogabe Y. The effect of breath termination criterion on breathing patterns and the work of breathing during pressure support ventilation. Anesth Analg 2001;92(1):161-165.
25. Georgopoulos D, Prinianakis G, Kondili E. Bedside waveforms interpretation as a tool to identify patient-ventilator asynchronies. Intensive Care Med 2006;32(1):34-47.
26. Xirouchaki N, Kondili E, Vaporidi K, Xirouchakis G, Klimathianaki M, Gavriilidis G, et al. Proportional assist ventilation with loadadjustable gain factors in critically ill patients: comparison with pressure support. Intensive Care Med 2008;34(11):2026-2034.
27. Spahija J, de Marchie M, Albert M, Bellemare P, Delisle S, Beck J, et al. Patient-ventilator interaction during pressure support ventilation and neurally adjusted ventilatory assist. Crit Care Med 2010; 38(2):518-526.
28. Sinderby C, Beck J. Proportional assist ventilation and neurally adjusted ventilatory assist-better approaches to patient ventilator synchrony? Clin Chest Med 2008;29(2):329-342.
29. Sinderby C, Beck J, Spahija J, de Marchie M, Lacroix J, Navalesi P, Slutsky AS. Inspiratory muscle unloading by neurally adjusted ventilatory assist during maximal inspiratory efforts in healthy subjects. Chest 2007;131(3):711-717.