The incidence of patient-ventilator asynchrony is influenced by the definition of asynchrony, patient condition, ventilator mode, and method of observation.
CITATION | NUMBER OF PARTICIPANTS | CONDITION | MODE | % OF PATIENTS WITH ASYNCHRONY INDEX* > 10 |
---|---|---|---|---|
BLANCH 2015([FOOTNOTE=Blanch L, Villagra A, Sales B, et al. Asynchronies during mechanical ventilation are associated with mortality. Intensive care medicine. 2015;41(4):633-641.],[ANCHOR=View Abstract],[LINK=/content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=906058]) | 50 | ICU Invasive Ventilation > 24 hrs | PCV, PSV, VCV | 12 |
CARLUCCI 2013([FOOTNOTE=Carlucci A, Pisani L, Ceriana P, Malovini A, Nava S. Patient-ventilator asynchronies: may the respiratory mechanics play a role? Critical care (London, England). 2013;17(2):R54.],[ANCHOR=View Abstract],[LINK=/content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=956126]) | 69 | ICU Invasive Ventilation > 24 hrs | NIV, PSV | 30 |
ROBINSON 2013([FOOTNOTE=Robinson BR, Blakeman TC, Toth P, Hanseman DJ, Mueller E, Branson RD. Patient-ventilator asynchrony in a traumatically injured population. Respiratory care. 2013;58(11):1847-1855. ],[ANCHOR=View Abstract],[LINK=/content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=1203233]) | 35 | Trauma | SIMV, PSV | 25.7 |
VIGNAUX 2009([FOOTNOTE=Vignaux L, Vargas F, Roeseler J, et al. Patient-ventilator asynchrony during non-invasive ventilation for acute respiratory failure: a multicenter study. Intensive care medicine. 2009;35(5):840-846.],[ANCHOR=View Abstract],[LINK=/content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=603142]) | 60 | Acute respiratory failure (acute chronic respiratory failure, pneumonia, post-extubation, pulmonary edema, postoperative, thoracic trauma) | NIV mode - ICU Ventilator | 43 |
VIGNAUX 2010([FOOTNOTE=Vignaux L, Tassaux D, Carteaux G, et al. Performance of noninvasive ventilation algorithms on ICU ventilators during pressure support: a clinical study. Intensive care medicine. 2010;36(12):2053-2059.],[ANCHOR=View Abstract],[LINK=/content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=1203239]) | 65 | Acute respiratory failure (acute episode of chronic pulmonary disease, NIV after extubation, pneumonia, post-operative, pulmonary edema) | NIV mode - ICU Ventilator | 38 |
THILLE 2006([FOOTNOTE=Thille AW, Rodriguez P, Cabello B, Lellouche F, Brochard L. Patient-ventilator asynchrony during assisted mechanical ventilation. Intensive care medicine. 2006;32(10):1515-1522.],[ANCHOR=View Abstract],[LINK=/content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=805246]) | 62 | ICU Invasive Ventilation > 24 hrs | ACV, PSV | 24 |
*Asynchrony Index (expressed in percentage) = number of asynchrony events/total respiratory rate (ventilator cycles +wasted efforts)×100
ACRONYMS | |
---|---|
ACV | Assist-control Ventilation |
NIV | Non-invasive Ventilation |
PCV | Pressure-control Ventilation |
PSV | Pressure-support Ventilation |
VCV | Volume-control Ventilation |