Journal
RESPIRATORY CARE
Volume 56, Issue 1, Pages 15-22Publisher
DAEDALUS ENTERPRISES INC
DOI: 10.4187/respcare.00937
Keywords
mechanical ventilation; ventilator; patient-ventilator synchrony; dyssynchrony; asynchrony
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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.
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