Asynchrony Consequences and Management

被引：61
作者：
Pham, Tai [1 ,2 ]
Telias, Irene [1 ,2 ]
Piraino, Thomas [3 ]
Yoshida, Takeshi [1 ,2 ,4 ,5 ]
Brochard, Laurent J. [1 ,2 ]
机构：
[1] Univ Toronto, St Michaels Hosp, Interdept Div Crit Care Med, 30 Bond St, Toronto, ON M5B 1W8, Canada
[2] St Michaels Hosp, Li Ka Shing Knowledge Inst, Keenan Res Ctr Biomed Sci, 209 Victoria St, Toronto, ON M5B 1T8, Canada
[3] St Michaels Hosp, Dept Resp Therapy, 30 Bond St, Toronto, ON M5B 1W8, Canada
[4] Univ Toronto, Hosp Sick Children, Dept Crit Care Med, Translat Med, 555 Univ Ave, Toronto, ON M5G 1X8, Canada
[5] Univ Toronto, Hosp Sick Children, Dept Anesthesia, Translat Med, 555 Univ Ave, Toronto, ON M5G 1X8, Canada
来源：
CRITICAL CARE CLINICS | 2018年 / 34卷 / 03期
基金：
日本学术振兴会;
关键词：
Mechanical ventilation; Dyssynchrony; Airway pressure; Monitoring; Work of breathing; PROPORTIONAL-ASSIST VENTILATION; PRESSURE-SUPPORT VENTILATION; RESPIRATORY-DISTRESS-SYNDROME; CRITICALLY-ILL PATIENTS; MECHANICAL VENTILATION; LUNG INJURY; INEFFECTIVE EFFORTS; BREATH STACKING; SLEEP QUALITY; TIDAL VOLUME;
D O I：
10.1016/j.ccc.2018.03.008
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Poor synchrony between the delivery of mechanical breaths, the neural respiratory timing, and needs of patients is relatively frequent under me-chanical ventilation in the intensive care unit. This article summarizes the current knowledge on the different types of dyssynchrony described to date and their mechanism, consequences, and potential management. There is still a long way to get to a comprehensive knowledge, and uncertainties remain. Ongoing research and development of monitoring tools are urgently needed to allow a better appraisal of this area.
引用
收藏
页码：325 / +
页数：18
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