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Patient-ventilator dyssynchronies: Are they all the same? A clinical classification to guide actions.

Abstract：

:Patient ventilatory dyssynchrony (PVD) is a mismatch between the respiratory drive of the patient and ventilatory assistance. It is a complex event seen in almost all ventilated patients and at any ventilator mode, with uncertain significance and prognosis. Due to its different pathophysiological mechanisms, there is still not consensual classification to guide us in selecting the best treatment. In the present review we aimed to summarize some clinical data on PVD, and to propose a clinical classification based on the type of PVD, from potentially innocuous to clearly harmful PVD, which could help clinicians in the decision-making process from adjusting ventilator settings to deeply sedate or paralyze the patient. Clearly, further studies are needed addressing risk factors, physiologic mechanisms and direct consequences of PVD in order to help clinicians to design effective and proven strategies at the bedside.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Damiani LF,Bruhn A,Retamal J,Bugedo G

doi

10.1016/j.jcrc.2020.07.016

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

50-57

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(20)30620-1

journal_volume

60

pub_type

杂志文章,评审

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