By A. Orlando – White paper
Asynchronies are a frequent issue in ventilated patients. They represent a mismatch between the inspiratory and expiratory times of patient and ventilator, and thus a failure to provide ventilated patients with optimal assistance. This results in prolonged mechanical ventilation, difficult wean-ing, reduced patient comfort, an increased risk of diaphragmatic damage, and a potential increase in morbidity and mortality.
Over the last few years, there has been increasing interest in asynchronies and ICU physicians have learned how to detect them by looking at the ventilator waveforms.
The aim of this paper is to describe the phenomenon of asynchrony by looking at the pathophysiology, the clinical impact and the different management possibilities, including the application of new automatic triggers implemented in modern ICU ventilators.
from Hamilton Medical