Skip to main content
 

Main menu

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Coming Next Month
    • Archives
    • Most-Read Papers of 2021
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Reviewer Guidelines: Original Research
    • Reviewer Guidelines: Reviews
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • 2022 Call for Abstracts
    • 2021 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Español
    • Portugûes
    • 国语
  • Videos
    • Video Abstracts
    • Author Interviews
    • Highlighted Articles
    • The Journal

User menu

  • Subscribe
  • My alerts
  • Log in

Search

  • Advanced search
American Association for Respiratory Care
  • Subscribe
  • My alerts
  • Log in
American Association for Respiratory Care

Advanced Search

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Coming Next Month
    • Archives
    • Most-Read Papers of 2021
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Reviewer Guidelines: Original Research
    • Reviewer Guidelines: Reviews
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • 2022 Call for Abstracts
    • 2021 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Español
    • Portugûes
    • 国语
  • Videos
    • Video Abstracts
    • Author Interviews
    • Highlighted Articles
    • The Journal
  • Twitter
  • Facebook
  • YouTube
Research ArticleOriginal Research

ICU Clinicians Underestimate Breathing Discomfort in Ventilated Subjects

Andrew P Binks, Steven Desjardin and Richard Riker
Respiratory Care February 2017, 62 (2) 150-155; DOI: https://doi.org/10.4187/respcare.04927
Andrew P Binks
University of South Carolina School of Medicine, Greenville, South Carolina.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
Steven Desjardin
Maine Medical Center, Portland, Maine.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Richard Riker
Maine Medical Center, Portland, Maine.
Tufts University School of Medicine, Boston, Massachusetts.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

References

  1. 1.↵
    1. Schmidt M,
    2. Demoule A,
    3. Polito A,
    4. Porchet R,
    5. Aboab J,
    6. Siami S,
    7. et al
    . Dyspnea in mechanically ventilated critically ill patients. Crit Care Med 2011;39(9):2059–2065.
    OpenUrlCrossRefPubMedWeb of Science
  2. 2.↵
    1. Lansing RW,
    2. Gracely RH,
    3. Banzett RB
    . The multiple dimensions of dyspnea: review and hypotheses. Respir Physiol Neurobiol 2009;167(1):53–60.
    OpenUrlCrossRefPubMedWeb of Science
  3. 3.↵
    1. Hansen-Flaschen JH
    . Dyspnea in the ventilated patient: a call for patient-centered mechanical ventilation. Respir Care 2000;45(12):1460–1464, discussion 1464-1467.
    OpenUrlPubMed
  4. 4.↵
    1. Schmidt M,
    2. Banzett RB,
    3. Raux M,
    4. Morelot-Panzini C,
    5. Dangers L,
    6. Similowski T,
    7. et al
    . Unrecognized suffering in the ICU: addressing dyspnea in mechanically ventilated patients. Intensive Care Med 2014;40(1):1–10.
    OpenUrlWeb of Science
  5. 5.↵
    1. Ratzer M,
    2. Brink O,
    3. Knudsen L,
    4. Elklit A
    . Posttraumatic stress in intensive care unit survivors: a prospective study. Health Psychol Behav Med 2014;2(1):882–898.
    OpenUrl
  6. 6.↵
    1. Caiuby AV,
    2. Andreoli PB,
    3. Andreoli SB
    . Post-traumatic stress disorder in intensive care unit patients. Rev Bras Ter Intensiva 2010;22(1):77–84.
    OpenUrl
  7. 7.↵
    1. Cuthbertson BH,
    2. Hull A,
    3. Strachan M,
    4. Scott J
    . Post-traumatic stress disorder after critical illness requiring general intensive care. Intensive Care Med 2004;30(3):450–455.
    OpenUrlCrossRefPubMedWeb of Science
  8. 8.↵
    1. Schelling G
    . Effects of stress hormones on traumatic memory formation and the development of posttraumatic stress disorder in critically ill patients. Neurobiol Learn Mem 2002;78(3):596–609.
    OpenUrlCrossRefPubMed
  9. 9.↵
    1. Binks AP,
    2. Evans KC,
    3. Reed JD,
    4. Moosavi SH,
    5. Banzett RB
    . The time-course of cortico-limbic neural responses to air hunger. Respir Physiol Neurobiol 2014;204:78–85.
    OpenUrlCrossRefPubMed
  10. 10.↵
    1. Riker RR,
    2. Picard JT,
    3. Fraser GL
    . Prospective evaluation of the sedation-agitation scale for adult critically ill patients. Crit Care Med 1999;27(7):1325–1329.
    OpenUrlCrossRefPubMedWeb of Science
  11. 11.↵
    1. Powers J,
    2. Bennett SJ
    . Measurement of dyspnea in patients treated with mechanical ventilation. Am J Crit Care 1999;8(4):254–261.
    OpenUrlAbstract
  12. 12.↵
    1. Nelson JE,
    2. Meier DE,
    3. Oei EJ,
    4. Nierman DM,
    5. Senzel RS,
    6. Manfredi PL,
    7. et al
    . Self-reported symptom experience of critically ill cancer patients receiving intensive care. Crit Care Med 2001;29(2):277–282.
    OpenUrlCrossRefPubMedWeb of Science
  13. 13.↵
    1. Puntillo KA,
    2. Arai S,
    3. Cohen NH,
    4. Gropper MA,
    5. Neuhaus J,
    6. Paul SM,
    7. Miaskowski C
    . Symptoms experienced by intensive care unit patients at high risk of dying. Crit Care Med 2010;38(11):2155–2160.
    OpenUrlCrossRefPubMedWeb of Science
  14. 14.↵
    1. Johnson MJ,
    2. Bland JM,
    3. Oxberry SG,
    4. Abernethy AP,
    5. Currow DC
    . Clinically important differences in the intensity of chronic refractory breathlessness. J Pain Symptom Manage 2013;46(6):957–963.
    OpenUrlCrossRefPubMedWeb of Science
  15. 15.↵
    1. Haugdahl HS,
    2. Storli SL,
    3. Meland B,
    4. Dybwik K,
    5. Romild U,
    6. Klepstad P
    . Underestimation of patient breathlessness by nurses and physicians during a spontaneous breathing trial. Am J Respir Crit Care Med 2015;192(12):1440–1448.
    OpenUrl
  16. 16.↵
    1. Campbell ML
    . Respiratory distress: a model of responses and behaviors to an asphyxial threat for patients who are unable to self-report. Heart Lung 2008;37(1):54–60.
    OpenUrlCrossRefPubMed
  17. 17.↵
    1. Campbell ML
    . Psychometric testing of a respiratory distress observation scale. J Palliat Med 2008;11(1):44–50.
    OpenUrlCrossRefPubMed
  18. 18.↵
    1. Campbell ML,
    2. Yarandi HN,
    3. Mendez M
    . A two-group trial of a terminal ventilator withdrawal algorithm: pilot testing. J Palliat Med 2015;18(9):781–785.
    OpenUrl
  19. 19.↵
    1. Nilsestuen JO,
    2. Hargett KD
    . Using ventilator graphics to identify patient-ventilator asynchrony. Respir Care 2005;50(2):202–234; discussion 232-234.
    OpenUrlAbstract/FREE Full Text
  20. 20.
    1. Branson RD,
    2. Blakeman TC,
    3. Robinson BR
    . Asynchrony and dyspnea. Respir Care 2013;58(6):973–989.
    OpenUrlAbstract/FREE Full Text
  21. 21.↵
    1. Kondili E,
    2. Akoumianaki E,
    3. Alexopoulou C,
    4. Georgopoulos D
    . Identifying and relieving asynchrony during mechanical ventilation. Expert Rev Respir Med 2009;3(3):231–243.
    OpenUrlCrossRefPubMed
  22. 22.↵
    1. Hug F,
    2. Raux M,
    3. Morelot-Panzini C,
    4. Similowski T
    . Surface EMG to assess and quantify upper airway dilators activity during non-invasive ventilation. Respir Physiol Neurobiol 2011;178(2):341–345.
    OpenUrlCrossRefPubMed
  23. 23.↵
    1. Mularski RA,
    2. White-Chu F,
    3. Overbay D,
    4. Miller L,
    5. Asch SM,
    6. Ganzini L
    . Measuring pain as the 5th vital sign does not improve quality of pain management. J Gen Intern Med 2006;21(6):607–612.
    OpenUrlCrossRefPubMed
  24. 24.↵
    1. Leung P,
    2. Jubran A,
    3. Tobin MJ
    . Comparison of assisted ventilator modes on triggering, patient effort, and dyspnea. Am J Respir Crit Care Med 1997;155(6):1940–1948.
    OpenUrlCrossRefPubMedWeb of Science
  25. 25.↵
    1. Mols G,
    2. von Ungern-Sternberg B,
    3. Rohr E,
    4. Haberthür C,
    5. Geiger K,
    6. Guttmann J
    . Respiratory comfort and breathing pattern during volume proportional assist ventilation and pressure support ventilation: a study on volunteers with artificially reduced compliance. Crit Care Med 2000;28(6):1940–1946.
    OpenUrlCrossRefPubMedWeb of Science
  26. 26.↵
    1. Manning HL,
    2. Molinary EJ,
    3. Leiter JC
    . Effect of inspiratory flow rate on respiratory sensation and pattern of breathing. Am J Respir Crit Care Med 1995;151(3 Pt 1):751–757.
    OpenUrlPubMedWeb of Science
  27. 27.↵
    1. Vovk A,
    2. Binks AP
    . Raising end-expiratory volume relieves air hunger in mechanically ventilated healthy adults. J Appl Physiol 2007;103(3):779–786.
    OpenUrlAbstract/FREE Full Text
  28. 28.↵
    The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000;342(18):1301–1308.
    OpenUrlCrossRefPubMedWeb of Science
  29. 29.↵
    1. Wirth S,
    2. Best C,
    3. Spaeth J,
    4. Guttmann J,
    5. Schumann S
    . Flow controlled expiration is perceived as less uncomfortable than positive end expiratory pressure. Respir Physiol Neurobiol 2014;202:59–63.
    OpenUrl
  30. 30.↵
    1. Schwartzstein RM,
    2. Lahive K,
    3. Pope A,
    4. Weinberger SE,
    5. Weiss JW
    . Cold facial stimulation reduces breathlessness induced in normal subjects. Am Rev Respir Dis 1987;136(1):58–61.
    OpenUrlCrossRefPubMedWeb of Science
  31. 31.↵
    1. Galbraith S,
    2. Fagan P,
    3. Perkins P,
    4. Lynch A,
    5. Booth S
    . Does the use of a handheld fan improve chronic dyspnea? A randomized, controlled, crossover trial. J Pain Symptom Manage 2010;39(5):831–838.
    OpenUrlCrossRefPubMedWeb of Science
  32. 32.↵
    1. Tsay SL,
    2. Wang JC,
    3. Lin KC,
    4. Chung UL
    . Effects of acupressure therapy for patients having prolonged mechanical ventilation support. J Adv Nurs 2005;52(2):142–150.
    OpenUrlCrossRefPubMedWeb of Science
  33. 33.↵
    1. Riker RR,
    2. Shehabi Y,
    3. Bokesch PM,
    4. Ceraso D,
    5. Wisemandle W,
    6. Koura F,
    7. et al
    . Dexmedetomidine vs midazolam for sedation of critically ill patients: a randomized trial. JAMA 2009;301(5):489–499.
    OpenUrlCrossRefPubMedWeb of Science
  34. 34.↵
    1. Mäntyselkä P,
    2. Kumpusalo E,
    3. Ahonen R,
    4. Takala J
    . Patients' versus general practitioners' assessments of pain intensity in primary care patients with non-cancer pain. Br J Gen Pract 2001;51(473):995–997.
    OpenUrlAbstract/FREE Full Text
  35. 35.
    1. Petersen MA,
    2. Larsen H,
    3. Pedersen L,
    4. Sonne N,
    5. Groenvold M
    . Assessing health-related quality of life in palliative care: comparing patient and physician assessments. Eur J Cancer 2006;42(8):1159–1166.
    OpenUrlCrossRefPubMedWeb of Science
  36. 36.↵
    1. König P,
    2. Rejent A
    . Subjective and objective means of assessing cystic fibrosis and asthma. Ann Allergy 1982;49(2):86–92.
    OpenUrlPubMed
  37. 37.↵
    1. Idvall E,
    2. Brudin L
    . Do health care professionals underestimate severe pain more often than mild pain? Statistical pitfalls using a data simulation model. J Eval Clin Pract 2005;11(5):438–443.
    OpenUrlPubMed
PreviousNext
Back to top

In this issue

Respiratory Care: 62 (2)
Respiratory Care
Vol. 62, Issue 2
1 Feb 2017
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author

 

Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Association for Respiratory Care.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
ICU Clinicians Underestimate Breathing Discomfort in Ventilated Subjects
(Your Name) has sent you a message from American Association for Respiratory Care
(Your Name) thought you would like to see the American Association for Respiratory Care web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
ICU Clinicians Underestimate Breathing Discomfort in Ventilated Subjects
Andrew P Binks, Steven Desjardin, Richard Riker
Respiratory Care Feb 2017, 62 (2) 150-155; DOI: 10.4187/respcare.04927

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
ICU Clinicians Underestimate Breathing Discomfort in Ventilated Subjects
Andrew P Binks, Steven Desjardin, Richard Riker
Respiratory Care Feb 2017, 62 (2) 150-155; DOI: 10.4187/respcare.04927
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Conclusions
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • References
  • PDF

Related Articles

Cited By...

Keywords

  • dyspnea
  • mechanical ventilation
  • sedation
  • patient acuity
  • methods
  • intensive care

Info For

  • Subscribers
  • Institutions
  • Advertisers

About Us

  • About the Journal
  • Editorial Board
  • Reprints/Permissions

AARC

  • Membership
  • Meetings
  • Clinical Practice Guidelines

More

  • Contact Us
  • RSS
American Association for Respiratory Care

Print ISSN: 0020-1324        Online ISSN: 1943-3654

© Daedalus Enterprises, Inc.

Powered by HighWire