Proportional assist ventilation versus pressure support ventilation for weaning from mechanical ventilation in adults: a meta-analysis and trial sequential analysis
نویسندگان
چکیده
منابع مشابه
Comparison of the effect of pressure support ventilation and volume assured pressure support ventilation on weaning patients off mechanical ventilation after cardiac surgery
Background: Weaning from mechanical ventilation in the intensive care unit is an important step in the treatment process. More patients in less than 6 hours after cardiac surgery can be separated from mechanical ventilation and extubated. However, 20-40% of patients after cardiac surgery, due to dysfunctional ventilator weaning response (DVWR), still remain under mechanical ventilation. Therefo...
متن کاملNew modes of mechanical ventilation: proportional assist ventilation, neurally adjusted ventilatory assist, and fractal ventilation.
Increased knowledge of the mechanisms that determine respiratory failure has led to the development of new technologies aimed at improving ventilatory treatment. Proportional assist ventilation and neurally adjusted ventilatory assist have been designed with the goal of improving patient-ventilator interaction by matching the ventilator support with the neural output of the respiratory centers....
متن کاملImpact of The Assist Ventilation Mode On Work of Breathing (Wob): Neurally Adjusted Ventilatory Assist (Nava) Versus Pressure Support Ventilation (Psv) Versus Proportional Assist Ventilation Plus (Pav+)
Introduction During assisted mechanical ventilation, appropriate WOB prevents diaphragm atrophy and fastens weaning. During PSV the ventilator support is fixed, irrespective of the patient’s effort. On the contrary, both the NAVA and PAV + algorithms are designed to amplify patient’s spontaneous effort. [1], [2] Objectives To test if the assist ventilation mode algorithm has an impact on patien...
متن کاملWeaning from mechanical ventilation
D iscontinuation of ventilation is estimated to take up to 40% of the total duration of ventilatory support, and around 3–6% of patients admitted to the intensive care unit (ICU) require a prolonged course of mechanical ventilation (MV). Patients being liberated from ventilatory support therefore occupy a significantnumber of ICUbeds andhave a major impact on healthcare resources. There have be...
متن کاملWeaning from mechanical ventilation.
Approximately 20% of all mechanically ventilated patients fail their first attempt to wean. Prolonged mechanical ventilation increases morbidity, mortality, and costs. No single weaning parameter predicts patient ability to wean. Weaning studies suggest that daily trials of spontaneous breathing for appropriate patients assured by standing protocol and driven by respiratory care practitioners a...
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ژورنال
عنوان ژورنال: Critical Care
سال: 2020
ISSN: 1364-8535
DOI: 10.1186/s13054-020-03251-4