Identifying asynchronies: work shifting and double triggering
Mechanical ventilation supports the work of breathing, improves gas exchange, and unloads the respiratory muscles, all of which require good synchronization between the patient and the ventilator. Asynchronies occur when the ventilator’s breath delivery does not match the patient’s neural ventila...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Society of Mechanical Ventilation
2022-12-01
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| Series: | Journal of Mechanical Ventilation |
| Subjects: | |
| Online Access: | https://www.journalmechanicalventilation.com/identifying-asynchronies-work-shifting-and-double-triggering-2/ |
| _version_ | 1827933962515775488 |
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| author | Víctor Perez Jamille Pasco |
| author_facet | Víctor Perez Jamille Pasco |
| author_sort | Víctor Perez |
| collection | DOAJ |
| description | Mechanical ventilation supports the work of breathing, improves gas exchange, and unloads the respiratory muscles, all of which require good synchronization between the patient and the ventilator.
Asynchronies occur when the ventilator’s breath delivery does not match the patient’s neural ventilatory pattern or is inadequate to meet the patient’s flow demand.
Patient–ventilator asynchrony can be easily detected by observing the patients in those extreme situations in which they fight the ventilator; nevertheless, the vast majority of asynchronies occur without major clinical signs and go undetected or corrected without measuring patient’s respiratory effort (either esophageal pressure or electrical activity of the diaphragm).
Synchrony problems are common, occurring in perhaps as many as 25% of patients receiving invasive ventilation and up to 80% of patients receiving noninvasive ventilation.
In this concise review, we describe work shifting and double triggering asynchronies. |
| first_indexed | 2024-03-13T07:31:58Z |
| format | Article |
| id | doaj.art-d4c9153ea3a546018b7dd27a6196ddb9 |
| institution | Directory Open Access Journal |
| issn | 2694-0450 |
| language | English |
| last_indexed | 2024-03-13T07:31:58Z |
| publishDate | 2022-12-01 |
| publisher | Society of Mechanical Ventilation |
| record_format | Article |
| series | Journal of Mechanical Ventilation |
| spelling | doaj.art-d4c9153ea3a546018b7dd27a6196ddb92023-06-04T06:19:23ZengSociety of Mechanical VentilationJournal of Mechanical Ventilation2694-04502022-12-013419019410.53097/JMV.10066Identifying asynchronies: work shifting and double triggeringVíctor PerezJamille PascoMechanical ventilation supports the work of breathing, improves gas exchange, and unloads the respiratory muscles, all of which require good synchronization between the patient and the ventilator. Asynchronies occur when the ventilator’s breath delivery does not match the patient’s neural ventilatory pattern or is inadequate to meet the patient’s flow demand. Patient–ventilator asynchrony can be easily detected by observing the patients in those extreme situations in which they fight the ventilator; nevertheless, the vast majority of asynchronies occur without major clinical signs and go undetected or corrected without measuring patient’s respiratory effort (either esophageal pressure or electrical activity of the diaphragm). Synchrony problems are common, occurring in perhaps as many as 25% of patients receiving invasive ventilation and up to 80% of patients receiving noninvasive ventilation. In this concise review, we describe work shifting and double triggering asynchronies.https://www.journalmechanicalventilation.com/identifying-asynchronies-work-shifting-and-double-triggering-2/patient-ventilator asynchronieswork shiftingdouble trigger |
| spellingShingle | Víctor Perez Jamille Pasco Identifying asynchronies: work shifting and double triggering Journal of Mechanical Ventilation patient-ventilator asynchronies work shifting double trigger |
| title | Identifying asynchronies: work shifting and double triggering |
| title_full | Identifying asynchronies: work shifting and double triggering |
| title_fullStr | Identifying asynchronies: work shifting and double triggering |
| title_full_unstemmed | Identifying asynchronies: work shifting and double triggering |
| title_short | Identifying asynchronies: work shifting and double triggering |
| title_sort | identifying asynchronies work shifting and double triggering |
| topic | patient-ventilator asynchronies work shifting double trigger |
| url | https://www.journalmechanicalventilation.com/identifying-asynchronies-work-shifting-and-double-triggering-2/ |
| work_keys_str_mv | AT victorperez identifyingasynchroniesworkshiftinganddoubletriggering AT jamillepasco identifyingasynchroniesworkshiftinganddoubletriggering |