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A Prospective Randomized Comparison of INTELLIVENT-ASV and PSV Modes in Terms of Weaning in Intensive Care Patients, Istanbul, Turkiye.
Niger J Clin Pract
November 2024
Department of Intensive Care Unit, Basaksehir Cam and Sakura Training and Research City Hospital, Istanbul, Turkey.
Background: INTELLIVENT-Adaptive Support Ventilation (I-ASV; C6; Hamilton Medical; Bonaduz, Switzerland) is a closed-loop ventilation mode that continuously controls the patient's ventilation and oxygenation. It sets the minute ventilation, PEEP, and oxygen levels based on the targets set by the clinician and on physiological input from the patient.
Aim: The aim was to compare I-ASV and PSV modes regarding weaning in intensive care patients.
Why NIV setting definitions may be tricky: Trigger sensitivity.
Sleep Med
January 2025
Pediatric Noninvasive Ventilation and Sleep Unit, AP-HP Necker Hospital, Paris, France; Université de Paris Cité, EA 7330 VIFASOM, Paris, France.
Noninvasive ventilation (NIV) is widely used in children. The spontaneous/timed (S/T) mode is the most common used mode for home NIV. Different devices are available, and the manufacturers are free to name the modes and define the settings, with no regulation.
View Article and Find Full Text PDFReverse triggering in patients with acute brain injury undergoing controlled ventilation.
J Thorac Dis
October 2024
Department of Critical Care Medicine, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Background: Reverse triggering (RT) is a ventilatory asynchrony characterized by the activation of respiratory muscles in response to passive mechanical insufflation. Although RT can potentially exacerbate lung injury, its characteristics in patients with acute brain injury remain under-explored. This study aims to elucidate the incidence and factors associated with RT in this patient population.
View Article and Find Full Text PDFSpontaneous breathing-induced lung injury in mechanically ventilated patients.
Curr Opin Crit Care
November 2024
Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Article Synopsis
- Recent studies indicate that spontaneous breathing during mechanical ventilation in ARDS can damage the lungs due to factors like high transpulmonary pressure and patient-ventilator mismatch.
- Neuromuscular blockers are effective in reducing this risk, but they come with a downside of possible muscle atrophy.
- Alternative strategies such as partial paralysis, sedatives, higher PEEP, and prone positioning could help lessen lung injury while preserving muscle function.
[Measurement of intrinsic positive end-expiratory pressure and clinical outcomes of infants with severe bronchopulmonary dysplasia].
Zhongguo Dang Dai Er Ke Za Zhi
October 2024
Department of Neonatalogy, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou 510630, China.
Objectives: To investigate the levels of intrinsic positive end-expiratory pressure (PEEPi) in infants with severe bronchopulmonary dysplasia (sBPD) and the relationship between different levels of PEEPi and clinical outcomes.
Methods: A retrospective analysis was conducted on the clinical data of 12 sBPD infants who underwent PEEPi measurement and were hospitalized at Guangzhou Women and Children's Medical Center from January 2022 to June 2023. The clinical manifestations and outcomes at discharge were compared between infants with very high PEEPi (≥10 cmHO) and those with lower PEEPi (<10 cmHO).
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