Abstract

CARRILLO ESPER, Raúl; CRUZ SANTANA, Julio Alberto; ROJO DEL MORAL, Oscar  and  ROMERO GONZALEZ, Juan Pablo. Asynchrony in mechanical ventilation: Current concepts. Rev. Asoc. Mex. Med. Crít. Ter. Intensiva [online]. 2016, vol.30, n.1, pp.48-54. ISSN 0187-8433.

Patient-ventilator asynchrony is common during mechanical ventilation. Asinchrony decreases comfort, prolongs mechanical ventilation, intensive care unit stays and mortality. Dyssynchrony can occur during triggering of the ventilator, the inspiration period after triggering, the transition from inspiration to expiration, and the expiratory phase. The most common dyssynchronies are delayed triggering, autotriggering, ineffective inspiratory efforts, mismatch between the patient's and ventilator's inspiratory times, and double triggering. The aim of this paper is to review current concepts related to the clinical and ventilatory manifestations of dyssynchrony in the cirtically ill ventilated patients.

Keywords : Dyssynchrony; mechanical ventilation.

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