ArticleCritical care (London, England)2013
Patient-ventilator asynchronies: may the respiratory mechanics play a role?
Article in Critical care (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Monitoring the patient-ventilator asynchrony during non-invasive ventilation.Frontiers in medicine · 2022Pooled it
- Noninvasive Neurally Adjusted Ventilator Assist Ventilation in the Postoperative Period Produces Better Patient-Ventilator Synchrony but Not Comfort.Pulmonary medicine · 2020Trial
- Impact of Built-In Software Monitoring on Survival in Amyotrophic Lateral Sclerosis Patients Receiving Home Mechanical Ventilation: A Cohort Study.Journal of clinical medicine · 2026Article
- Article
- Data-driven modelling of IRCU patient flow during the COVID-19 pandemic.Computational and structural biotechnology journal · 2025Article
- Remifentanil vs. dexmedetomidine for cardiac surgery patients with noninvasive ventilation intolerance: a multicenter randomized controlled trial.Journal of intensive care · 2024Article
- Comfort During Non-invasive Ventilation.Frontiers in medicine · 2022Review
- Article
- Butorphanol versus Propofol in Patients Undergoing Noninvasive Ventilation: A Prospective Observational Study.International journal of general medicine · 2021Article
- Patient-Ventilator Synchronization During Non-invasive Ventilation: A Pilot Study of an Automated Analysis System.Frontiers in medical technology · 2021Article
- Remifentanil versus dexmedetomidine for treatment of cardiac surgery patients with moderate to severe noninvasive ventilation intolerance (REDNIVIN): a prospective, cohort study.Journal of thoracic disease · 2020Article
- Model-based PEEP titration versus standard practice in mechanical ventilation: a randomised controlled trial.Trials · 2020Article
- Electromyography-Based Respiratory Onset Detection in COPD Patients on Non-Invasive Mechanical Ventilation.Entropy (Basel, Switzerland) · 2019Article
- Sleep-disordered breathing in patients with neuromuscular disease.Sleep & breathing = Schlaf & Atmung · 2018Review
- Update: non-invasive ventilation in chronic obstructive pulmonary disease.Journal of thoracic disease · 2018Review
- Looking under the bonnet of patient-ventilator asynchrony during noninvasive ventilation: does it add value?ERJ open research · 2017Article
- Year in review 2013: Critical Care--respirology.Critical care (London, England) · 2014Review
- Patient-ventilator trigger dys-synchrony: a common phenomenon with important implications.Critical care (London, England) · 2013Article
- 2021 Guideline for the Management of COPD Exacerbations: Emergency Medicine Association of Turkey (EMAT) / Turkish Thoracic Society (TTS) Clinical Practice Guideline Task Force.Turkish journal of emergency medicineArticle
- Flow and airway pressure analysis for detecting ineffective effort during mechanical ventilation in neuromuscular patients.Chronic respiratory diseaseArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe mechanisms leading to patient/ventilator asynchrony has never been systematically assessed. We studied the possible association between asynchrony and respiratory mechanics in patients ready to be enrolled for a home non-invasive ventilatory program. Secondarily, we looked for possible differences in the amount of asynchronies between obstructive and restrictive patients and a possible role of asynchrony in influencing the tolerance of non-invasive ventilation (NIV).
methodsThe respiratory pattern and mechanics of 69 consecutive patients with chronic respiratory failure were recorded during spontaneous breathing. After that patients underwent non-invasive ventilation for 60 minutes with a "dedicated" NIV platform in a pressure support mode during the day. In the last 15 minutes of this period, asynchrony events were detected and classified as ineffective effort (IE), double triggering (DT) and auto-triggering (AT).
resultsThe overall number of asynchronies was not influenced by any variable of respiratory mechanics or by the underlying pathologies (that is, obstructive vs restrictive patients). There was a high prevalence of asynchrony events (58% of patients). IEs were the most frequent asynchronous events (45% of patients) and were associated with a higher level of pressure support. A high incidence of asynchrony events and IE were associated with a poor tolerance of NIV.
conclusionsOur study suggests that in non-invasively ventilated patients for a chronic respiratory failure, the incidence of patient-ventilator asynchronies was relatively high, but did not correlate with any parameters of respiratory mechanics or underlying disease.
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