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Patient-Ventilator Interaction: The Last 40 Years

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Patient-ventilator synchrony is a complex issue affected by ventilator performance, patient characteristics, and the patient-ventilator interface. The history of patient-ventilator interaction includes avoidance of pharmacalogic paralysis, the development of spontaneous breathing systems, microprocessor technology to maximize interaction, and closed-loop control. While most clinicians agree that patient-ventilator synchrony is desirable, there remain no cause-and-effect data that asynchrony is associated with poor outcome.

Keywords: asynchrony; dyssynchrony; mechanical ventilation; patient-ventilator synchrony; ventilator

Document Type: Research Article

DOI: http://dx.doi.org/10.4187/respcare.00937

Affiliations: Division of Trauma and Critical Care, Department of Surgery, University of Cincinnati Medical Center, 231 Albert Sabin Way, ML 0558, Cincinnati OH, USA. richard.branson@uc.edu

Publication date: January 1, 2011

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