Patient-Ventilator Interaction in the Long-Term Acute-Care Hospital

Authors: Ghamloush, Maher; O'Connor, Heidi H; White, Alexander C

Source: Respiratory Care, Volume 56, Number 2, February 2011 , pp. 207-213(7)

Publisher: The Journal Respiratory Care Company

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Abstract:

Optimizing patient-ventilator synchrony is essential in managing patients who require prolonged mechanical ventilation in the long-term acute-care hospital. Inadequate synchrony can increase work of breathing, cause patient discomfort, and delay both weaning and general rehabilitation. Achieving optimal synchrony in the long-term acute-care hospital depends on a number of factors, including adjusting ventilator settings in response to improving lung function; adjusting psychotropic medications to control delirium, anxiety, and depression; and ensuring there is a well positioned correctly sized tracheostomy tube in the airway. The purpose of this review is to provide an update on issues pertinent to patient-ventilator synchrony in the LTACH setting.

Keywords: long-term acute-care hospital; patient-ventilator synchrony; prolonged mechanical ventilation

Document Type: Research Article

DOI: http://dx.doi.org/10.4187/respcare.01084

Affiliations: Pulmonary, Critical Care, and Sleep Division, Tufts Medical Center, Boston, Massachusetts, USA

Publication date: February 1, 2011

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