RT Journal Article
SR Electronic
T1 <span hwp:id="article-title-1" class="article-title">Asynchrony and Dyspnea</span><span hwp:id="article-title-102" class="sub-article-title">Discussion</span>
JF Respiratory Care
FD American Association for Respiratory Care
SP 973
OP 989
DO 10.4187/respcare.02507
VO 58
IS 6
A1 Richard D Branson
A1 Thomas C Blakeman
A1 Bryce RH Robinson
YR 2013
UL http://rc.rcjournal.com/content/58/6/973.abstract
AB Patient-ventilator synchrony and patient comfort are assumed to go hand in hand, yet few studies provide support for this common sense idea. In reality, synchrony between the patient and ventilator is complex and can be affected by the ventilator settings, type of ventilator, patient-ventilator interface, and sedation. Inspections of airway pressure and flow waveforms are reliable methods for detecting asynchrony, and automated detection seems accurate. A number of types of asynchronies have been defined, and asynchrony during invasive and noninvasive ventilation have different calling cards. There is a clear association between asynchrony, ventilator-induced diaphragmatic dysfunction, and duration of mechanical ventilation. Whether these are cause and effect or simply associated remains to be determined. Discussion