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2020, Number 5

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Med Crit 2020; 34 (5)

Prognosis impact of the asynchronies in the mechanical ventilated patient

Nicolás MEL, Mercado VP, Vidal MJJ, Rivero SE, Domínguez CG

Language: Spanish
References: 30
Page: 273-278
PDF size: 211.02 Kb.


ABSTRACT

Mechanical ventilation is common in critically ill patients. Patient-ventilator asynchrony exists when the breathing phases administered by the ventilator do not match those of the patient. They are frequent but underdiagnosed, and have been associated with worse outcomes because they negatively affect patient comfort, length of mechanical ventilation, length of stay in the intensive care unit and mortality. This review describes the negative outcomes associated with the presence of asynchronies in adult patients with invasive mechanical ventilation. Current evidence suggests that the best approach to handle asynchronies is to adjust the fan settings and improve the quality of detection. While most of this evidence comes from observational studies and randomized clinical trials which were done with heterogeneous populations and a limited number of patients, the results suggest less favorable clinically significant outcomes in patients with asynchronies. So it is necessary to generate more evidence in this topic.


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