Patient-Ventilator Interactions.

Journal Article (Review)

Ventilatory muscle fatigue is a reversible loss of the ability to generate force or velocity of contraction in response to increased elastic and resistive loads. Mechanical ventilation should provide support without imposing additional loads from the ventilator (dys-synchrony). Interactive breaths optimize this relationship but require that patient effort and the ventilator response be synchronous during breath initiation, flow delivery, and termination. Proper delivery considers all 3 phases and uses clinical data, ventilator graphics, and sometimes a trial-and-error approach to optimize patient-ventilator interactions. Newer modes optimize interactions but await good clinical outcome data before routine use.

Full Text

Duke Authors

Cited Authors

  • Gilstrap, D; Davies, J

Published Date

  • December 2016

Published In

Volume / Issue

  • 37 / 4

Start / End Page

  • 669 - 681

PubMed ID

  • 27842747

Electronic International Standard Serial Number (EISSN)

  • 1557-8216

International Standard Serial Number (ISSN)

  • 0272-5231

Digital Object Identifier (DOI)

  • 10.1016/j.ccm.2016.07.007

Language

  • eng