Asynchronies during invasive mechanical ventilation: narrative review and update

Abstract

Invasive mechanical ventilation is a frequent therapy in critically ill patients in critical care units. To achieve favorable outcomes, patient and ventilator interaction must be adequate. However, many clinical situations could attempt against this principle and generate a mismatch between these two actors. These asynchronies can lead the patient to worst outcomes; because of that is vital to recognize and treat these entities as soon as possible. Early detection and recognition of the different asynchronies could favor the reduction of the days of mechanical ventilation, the days of hospital stay, and in intensive care and improve clinical results.

Actualización sobre sedoanalgesia en paciente bajo ventilación mecánica

“…La ventilación mecánica es uno de los soportes vitales más utilizados en el área de la UCI. El adecuado uso de técnicas de sedoanalgesia reduce la incidencia de asincronías (una discordancia entre el ventilador y paciente) con el ventilador mecánico, permitiendo un adecuado acoplamiento con el mismo, produciendo un estado óptimo entre el ventilador y paciente; lo cual favorece la recuperación temprana de los pacientes (Saavedra et al, 2022).…”

Patient Self-Inflicted Lung Injury—A Narrative Review of Pathophysiology, Early Recognition, and Management Options

“…Patient-ventilator dyssynchrony during mechanical ventilation is defined as a situation when the parameters of breath delivered by the ventilator do not match the patient's respiratory drive and effort. Dyssynchronies are of clinical relevance because the number and intensity of patient-ventilator dyssynchronies are related to parameters of poor outcome, such as increased mortality or prolonged ventilation due to slower weaning [21][22][23].…”