Patient-ventilator dyssynchronies: Are they all the same? A clinical classification to guide actions

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dc.contributor.authorDamiani L.F.
dc.contributor.authorDamiani L.F.
dc.contributor.authorBruhn A.
dc.contributor.authorRetamal J.
dc.contributor.authorBugedo G.
dc.date.accessioned2024-01-10T14:23:40Z
dc.date.available2024-01-10T14:23:40Z
dc.date.issued2020
dc.description.abstract© 2020 Elsevier Inc.Patient ventilatory dyssynchrony (PVD) is a mismatch between the respiratory drive of the patient and ventilatory assistance. It is a complex event seen in almost all ventilated patients and at any ventilator mode, with uncertain significance and prognosis. Due to its different pathophysiological mechanisms, there is still not consensual classification to guide us in selecting the best treatment. In the present review we aimed to summarize some clinical data on PVD, and to propose a clinical classification based on the type of PVD, from potentially innocuous to clearly harmful PVD, which could help clinicians in the decision-making process from adjusting ventilator settings to deeply sedate or paralyze the patient. Clearly, further studies are needed addressing risk factors, physiologic mechanisms and direct consequences of PVD in order to help clinicians to design effective and proven strategies at the bedside.
dc.description.funderCONICYT-PFCHA
dc.description.funderDoctorado Nacional
dc.description.funderCONICYT
dc.fechaingreso.objetodigital27-03-2024
dc.fuente.origenScopus
dc.identifier.doi10.1016/j.jcrc.2020.07.016
dc.identifier.eissn15578615
dc.identifier.issn15578615 08839441
dc.identifier.pubmedid32739760
dc.identifier.scopusidSCOPUS_ID:85088666932
dc.identifier.urihttps://doi.org/10.1016/j.jcrc.2020.07.016
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/80127
dc.identifier.wosidWOS:000599491300010
dc.information.autorucFacultad de Medicina; Damiani Rebolledo, Luis Felipe; S/I; 237645
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final57
dc.pagina.inicio50
dc.publisherW.B. Saunders
dc.revistaJournal of Critical Care
dc.rightsacceso restringido
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titlePatient-ventilator dyssynchronies: Are they all the same? A clinical classification to guide actions
dc.typeartículo de revisión
dc.volumen60
sipa.codpersvinculados237645
sipa.indexWos
sipa.indexScopus
sipa.indexPubmed
sipa.trazabilidadCarga SIPA;09-01-2024
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