Patient-Ventilator Interaction During Noninvasive Ventilation in Simulated COPD

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Patient-Ventilator Interaction During Noninvasive Ventilation in Simulated COPD.

BACKGROUND During noninvasive ventilation (NIV) of COPD patients, delayed off-cycling of pressure support can cause patient ventilator mismatch and NIV failure. This systematic experimental study analyzes the effects of varying cycling criteria on patient-ventilator interaction. METHODS A lung simulator with COPD settings was connected to an ICU ventilator via helmet or face mask. Cycling was...

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Patient-ventilator interaction during noninvasive ventilation.

There is arguably more evidence to support the use of noninvasive ventilation (NIV) than any other practice related to the care of patients with acute respiratory failure. Despite this strong evidence base, NIV seems to be under-utilized and the failure rate (need for intubation) may be as high as 40%. Some of these failures potentially relate to asynchrony, although the relationship between as...

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ژورنال

عنوان ژورنال: Respiratory Care

سال: 2015

ISSN: 0020-1324,1943-3654

DOI: 10.4187/respcare.04141