Asynchronies during invasive mechanical ventilation: narrative review and update

被引:3
作者
Nicolas Saavedra, Santiago [1 ]
Sepulveda Barisich, Patrick Valentino [2 ]
Parra Maldonado, Jose Benito [3 ]
Belen Lumini, Romina [4 ]
Gomez-Gonzalez, Alberto [3 ]
Gallardo, Adrian [5 ]
机构
[1] Hosp Aleman, Serv Med Fis & Rehabil, Buenos Aires, DF, Argentina
[2] Hosp San Juan Dios, Serv Med Fis & Rehabil, La Serena, Chile
[3] Hosp Gen Mexico Dr Eduardo Liceaga, Serv Rehabil UCI, Ciudad De Mexico, Mexico
[4] Hosp El Carmen, Serv Kinesiol, Mendoza, Argentina
[5] Sanatorio Clin Modelo Moron, Serv Kinesiol, Argentina Republ Oriental Uruguay 234, RA-1708 Buenos Aires, DF, Argentina
关键词
asynchronies; detection; mechanical ventilation; recognition; treatment strategies; WORK; ESOPHAGEAL; PRESSURE;
D O I
10.4266/acc.2022.01158
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Invasive mechanical ventilation is a frequent therapy in critically ill patients in critical care units. To achieve favorable outcomes, patient and ventilator interaction must be adequate. However, many clinical situations could attempt against this principle and generate a mismatch between these two actors. These asynchronies can lead the patient to worst outcomes; that is why it is vital to recognize and treat these entities as soon as possible. Early detection and recognition of the different asynchronies could favor the reduction of the days of mechanical ventilation, the days of hospital stay, and intensive care and improve clinical results.
引用
收藏
页码:491 / 501
页数:11
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