• Critical care clinics · Jul 2018

    Review

    Asynchrony Consequences and Management.

    • Tài Pham, Irene Telias, Thomas Piraino, Takeshi Yoshida, and Laurent J Brochard.
    • Interdepartmental Division of Critical Care Medicine, University of Toronto, St. Michael's Hospital, 30 Bond Street, Toronto, ON M5B 1W8, Canada; Keenan Research Centre for Biomedical Science, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, Toronto, ON M5B 1T8, Canada.
    • Crit Care Clin. 2018 Jul 1; 34 (3): 325-341.

    AbstractPoor synchrony between the delivery of mechanical breaths, the neural respiratory timing, and needs of patients is relatively frequent under mechanical ventilation in the intensive care unit. This review summarizes the current knowledge on the different types of dyssynchrony described to date, their mechanism, consequences, and potential management. There is still a long way to get to a comprehensive knowledge and uncertainties remain. Ongoing research and development of monitoring tools are urgently needed to allow a better appraisal of this area in a near future.Copyright © 2018 Elsevier Inc. All rights reserved.

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