Anaesthesia
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Pressure controlled ventilation, and pressure support for spontaneous breathing are often used in intensive care because coordination of the ventilator with patient efforts can improve comfort and possibly reduce sedation. However we report a series of 10 patients whose efforts did not synchronise with pressure controlled ventilation. ⋯ Better recognition of this condition showed that slow respiratory rates and increased abdominal muscle action during expiration can affect pressure-controlled ventilation and pressure assisted breathing. If the condition is not recognised, treatment for poor synchronisation may delay weaning or be inappropriate.
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Comment Letter Case Reports
A response to 'Masseter muscle spasm following atracurium', Reddy K & Bromley L, Anaesthesia 2004; 59: 513.
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Comment Letter Historical Article
A response to 'Another look at Dumfries', Martin L V H, Anaesthesia 2004; 59: 180-7.
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Letter Case Reports
One-lung ventilation using the ProSeal laryngeal mask airway.