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Special Report

Identifying and relieving asynchrony during mechanical ventilation

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Pages 231-243 | Published online: 09 Jan 2014

References

  • Kondili E, Prinianakis G, Georgopoulos D. Patient–ventilator interaction. Br. J. Anaesth.91, 106–119 (2003).
  • Kondili E, Xirouchaki N, Georgopoulos D. Modulation and treatment of patient–ventilator dyssynchrony. Curr. Opin Crit. Care13, 84–89 (2007).
  • Prinianakis G, Kondili E, Georgopoulos D. Patient–ventilator interaction: an overview. Respir. Care. Clin. N. Am.11(2), 201–224 (2005).
  • Bosma K, Ferreyra G, Ambrogio C et al. Patient–ventilator interaction and sleep in mechanically ventilated patients: pressure support versus proportional assist ventilation. Crit. Care Med.35(4), 1048–1054 (2007).
  • Thille AW, Rodriguez P, Cabello B, Lellouche F, Brochard L. Patient–ventilator asynchrony during assisted mechanical ventilation. Intensive Care Med.32, 1515–1522 (2006).
  • Georgopoulos D, Prinianakis G, Kondili E. Bedside waveforms interpretation as a tool to identify patient–ventilator asynchronies. Intensive Care Med.32(1), 34–47 (2006).
  • Auler JO Jr, Saldiva PH, Martins MA et al. Flow and volume dependence of respiratory system mechanics during constant flow ventilation in normal subjects and in adult respiratory distress syndrome. Crit. Care Med.18(10), 1080–1086 (1990).
  • Barnas GM, Watson RJ, Green MD et al. Lung and chest wall mechanical properties before and after cardiac surgery with cardiopulmonary bypass. J. Appl. Physiol.76(1), 166–175 (1994).
  • Tantucci C, Corbeil C, Chasse M et al. Flow and volume dependence of respiratory system flow resistance in patients with adult respiratory distress syndrome. Am. Rev. Respir. Dis.145(2 Pt 1), 355–360 (1992).
  • 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.29(11), 1950–1959 (2003).
  • Racca F, Squadrone V, Ranieri VM. Patient–ventilator interaction during the triggering phase. Respir. Care Clin. N. Am.11(2), 225–245 (2005).
  • Sassoon CS, Gruer SE. Characteristics of the ventilator pressure- and flow-trigger variables. Intensive Care Med.21(2), 159–168 (1995).
  • Slutsky AS. Mechanical ventilation. American College of Chest Physicians’ Consensus Conference. Chest104(6), 1833–1859 (1993).
  • Tobin MJ, Jubran A, Laghi F. Patient–ventilator interaction. Am. J. Respir. Crit. Care Med.163(5), 1059–1063 (2001).
  • Aslanian P, El Atrous S, Isabey D et al. Effects of flow triggering on breathing effort during partial ventilatory support. Am. J. Respir. Crit. Care Med.157(1), 135–143 (1998).
  • Sassoon CS, Del Rosario N, Fei R, Rheeman CH, Gruer SE, Mahutte CK. Influence of pressure- and flow-triggered synchronous intermittent mandatory ventilation on inspiratory muscle work. Crit. Care Med.22(12), 1933–1941 (1994).
  • Goulet R, Hess D, Kacmarek RM. Pressure vs flow triggering during pressure support ventilation. Chest111(6), 1649–1653 (1997).
  • Calzia E, Lindner KH, Stahl W, Martin A, Radermacher P, Georgieff M. Work of breathing, inspiratory flow response, and expiratory resistance during continuous positive airway pressure with the ventilators EVITA-2, EVITA-4 and SV 300. Intensive Care Med.24(9), 931–938 (1998).
  • Richard JC, Carlucci A, Breton L et al. Bench testing of pressure support ventilation with three different generations of ventilators. Intensive Care Med.28(8), 1049–1057 (2002).
  • Tutuncu AS, Cakar N, Camci E, Esen F, Telci L, Akpir K. Comparison of pressure- and flow-triggered pressure-support ventilation on weaning parameters in patients recovering from acute respiratory failure. Crit. Care Med.25(5), 756–760 (1997).
  • Sharshar T, Desmarais G, Louis B et al. Transdiaphragmatic pressure control of airway pressure support in healthy subjects. Am. J. Respir. Crit. Care Med.168(7), 760–769 (2003).
  • Sinderby C, Navalesi P, Beck J et al. Neural control of mechanical ventilation in respiratory failure. Nat. Med.5(12), 1433–1436 (1999).
  • Fabry B, Guttmann J, Eberhard L, Bauer T, Haberthur C, Wolff G. An analysis of desynchronization between the spontaneously breathing patient and ventilator during inspiratory pressure support. Chest107(5), 1387–1394 (1995).
  • Leung P, Jubran A, Tobin MJ. Comparison of assisted ventilator modes on triggering, patient effort, and dyspnea. Am. J. Respir. Crit. Care Med.155(6), 1940–1948 (1997).
  • 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.34(8), 1477–1486 (2008).
  • Younes M, Kun J, Webster K, Roberts D. Response of ventilator-dependent patients to delayed opening of exhalation valve. Am. J. Respir. Crit. Care Med.166(1), 21–30 (2002).
  • Younes M, Brochard L, Grasso S et al. A method for monitoring and improving patient:ventilator interaction. Intensive Care Med.33(8), 1337–1346 (2007).
  • Vitacca M, Bianchi L, Zanotti E et al. Assessment of physiologic variables and subjective comfort under different levels of pressure support ventilation. Chest126(3), 851–859 (2004).
  • Hill LL, Pearl RG. Flow triggering, pressure triggering, and autotriggering during mechanical ventilation. Crit. Care Med.28(2), 579–581 (2000).
  • Imanaka H, Nishimura M, Takeuchi M, Kimball WR, Yahagi N, Kumon K. Autotriggering caused by cardiogenic oscillation during flow-triggered mechanical ventilation. Crit. Care Med.28(2), 402–407 (2000).
  • Giannouli E, Webster K, Roberts D, Younes M. Response of ventilator-dependent patients to different levels of pressure support and proportional assist. Am. J. Respir. Crit. Care Med.159(6), 1716–1725 (1999).
  • Bonmarchand G, Chevron V, Chopin C et al. Increased initial flow rate reduces inspiratory work of breathing during pressure support ventilation in patients with exacerbation of chronic obstructive pulmonary disease. Intensive Care Med.22(11), 1147–1154 (1996).
  • Bonmarchand G, Chevron V, Menard JF et al. Effects of pressure ramp slope values on the work of breathing during pressure support ventilation in restrictive patients. Crit. Care Med.27(4), 715–722 (1999).
  • 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.18(1), 107–114 (2001).
  • 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.31(11), 2604–2610 (2003).
  • Chiumello D, Pelosi P, Calvi E, Bigatello LM, Gattinoni L. Different modes of assisted ventilation in patients with acute respiratory failure. Eur. Respir. J.20(4), 925–933 (2002).
  • Younes M. Proportional assist ventilation, a new approach to ventilatory support. Theory. Am. Rev. Respir. Dis.145(1), 114–120 (1992).
  • Younes M, Puddy A, Roberts D et al. Proportional assist ventilation. Results of an initial clinical trial. Am. Rev. Respir. Dis.145(1), 121–129 (1992).
  • Kondili E, Xirouchaki N, Vaporidi K, Klimathianaki M, Georgopoulos D. Short-term cardiorespiratory effects of proportional assist and pressure-support ventilation in patients with acute lung injury/acute respiratory distress syndrome. Anesthesiology105(4), 703–708 (2006).
  • Ranieri VM, Giuliani R, Mascia L et al. Patient–ventilator interaction during acute hypercapnia: pressure-support vs. proportional-assist ventilation. J. Appl. Physiol.81(1), 426–436 (1996).
  • Grasso S, Puntillo F, Mascia L et al. Compensation for increase in respiratory workload during mechanical ventilation. Pressure-support versus proportional-assist ventilation. Am. J. Respir. Crit. Care Med.161(3 Pt 1), 819–826 (2000).
  • Mitrouska J, Xirouchaki N, Patakas D, Siafakas N, Georgopoulos D. Effects of chemical feedback on respiratory motor and ventilatory output during different modes of assisted mechanical ventilation. Eur. Respir. J.13(4), 873–882 (1999).
  • Wysocki M, Meshaka P, Richard JC, Similowski T. Proportional-assist ventilation compared with pressure-support ventilation during exercise in volunteers with external thoracic restriction. Crit. Care Med.32(2), 409–414 (2004).
  • Kondili E, Prinianakis G, Alexopoulou C, Vakouti E, Klimathianaki M, Georgopoulos D. Respiratory load compensation during mechanical ventilation-proportional assist ventilation with load-adjustable gain factors versus pressure support. Intensive Care Med.32(5), 692–699 (2006).
  • Xirouchaki N, Kondili E, Vaporidi K et al. Proportional assist ventilation with load-adjustable gain factors in critically ill patients: comparison with pressure support. Intensive Care Med.34(11), 2026–2034 (2008).
  • Du HL, Yamada Y. Expiratory asynchrony. Respir. Care Clin. N. Am.11(2), 265–280 (2005).
  • Beck J, Gottfried SB, Navalesi P et al. Electrical activity of the diaphragm during pressure support ventilation in acute respiratory failure. Am. J. Respir. Crit. Care Med.164(3), 419–424 (2001).
  • 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.172(10), 1283–1289 (2005).
  • Tokioka H, Tanaka T, Ishizu T et al. The effect of breath termination criterion on breathing patterns and the work of breathing during pressure support ventilation. Anesthesia Analgesia92(1), 161–165 (2001).
  • Prinianakis G, Plataki M, Kondili E, Klimathianaki M, Vaporidi K, Georgopoulos D. Effects of relaxation of inspiratory muscles on ventilator pressure during pressure support. Intensive Care Med.34(1), 70–74 (2008).
  • Yamada Y, Du HL. Analysis of the mechanisms of expiratory asynchrony in pressure support ventilation: a mathematical approach. J. Appl. Physiol.88(6), 2143–2150 (2000).
  • Nilsestuen JO, Hargett KD. Using ventilator setting to indentify patient ventilator asynchrony. Respir. Care50(2), 202–234 (2005).

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