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Automatic Adjustment of the Inspiratory Trigger and Cycling-Off Criteria Improved Patient-Ventilator Asynchrony During Pressure Support Ventilation.
Front Med (Lausanne)
November 2021
Jiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Patient-ventilator asynchrony is common during pressure support ventilation (PSV) because of the constant cycling-off criteria and variation of respiratory system mechanical properties in individual patients. Automatic adjustment of inspiratory triggers and cycling-off criteria based on waveforms might be a useful tool to improve patient-ventilator asynchrony during PSV. Twenty-four patients were enrolled and were ventilated using PSV with different cycling-off criteria of 10% (PS), 30% (PS), 50% (PS), and automatic adjustment PSV (PS).
View Article and Find Full Text PDFWeaning preterm infants from continuous positive airway pressure: evidence for best practice.
World J Pediatr
August 2015
Neonatal Intensive Care Unit, Mansoura University Children's Hospital, Mansoura, Egypt,
Background: Nasal continuous positive airway pressure (NCPAP) is frequently used in preterm infants. However, there is no consensus on when and how to wean them from NCPAP.
Data Sources: Based on recent publications, we have reviewed the criteria of readiness-to-wean and factors affecting weaning success.
Performance of ICU ventilators during noninvasive ventilation with large leaks in a total face mask: a bench study.
J Bras Pneumol
January 2015
Department of Pulmonology, Hospital das Clínicas, School of Medicine, University of São Paulo, São Paulo, Brazil.
Objective: Discomfort and noncompliance with noninvasive ventilation (NIV) interfaces are obstacles to NIV success. Total face masks (TFMs) are considered to be a very comfortable NIV interface. However, due to their large internal volume and consequent increased CO2 rebreathing, their orifices allow proximal leaks to enhance CO2 elimination.
View Article and Find Full Text PDFCeasIng Cpap At standarD criteriA (CICADA): impact on weight gain, time to full feeds and caffeine use.
Arch Dis Child Fetal Neonatal Ed
September 2014
Department of Neonatology, Canberra Hospital, Garran, Australian Capital Territory, Australia Australian National University Medical School, Canberra, Australian Capital Territory, Australia.
Introduction: In our previous randomised controlled trial (RCT), we have shown in preterm babies (PBs) <30 weeks gestation that CeasIng Cpap At standarD criteriA (CICADA (method 1)) compared with cycling off continuous positive airway pressure (CPAP) gradually (method 2) or cycling off CPAP gradually with low flow air/oxygen during periods off CPAP (method 3) reduces CPAP cessation time in PBs <30 weeks gestation.
Method: This retrospective study reviewed weight gain, time to reach full feeds and time to cease caffeine in PBs previously enrolled in the RCT.
Results: Data were collected from 162 of the 177 PBs, and there was no significant difference in the projected weight gain between the three methods.
Cycling-off criteria during pressure support ventilation: what do we have to monitor?
J Crit Care
June 2014
Università degli Studi di Milano, Dipartimento di fisiopatologia medico-chirurgica e dei trapianti, Milano, Italia.
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