Ventilator triggering

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Triggering of the ventilator in patient-ventilator interactions.

With current ventilator triggering design, in initiating ventilator breaths patient effort is only a small fraction of the total effort expended to overcome the inspiratory load. Similarly, advances in ventilator pressure or flow delivery and inspiratory flow termination improve patient effort or inspiratory muscle work during mechanical ventilation. Yet refinements in ventilator design do not ...

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Ventilator auto-triggering in a patient with tuberculous bronchopleural fistula.

We report a case of ventilator auto-triggering resulting from tuberculous bronchopleural fistula being managed with chest tube suction. Early recognition of bronchopleural fistula-related auto-triggering is extremely important. Auto-triggering can lead to serious adverse effects, including severe hyperventilation and inappropriate escalation of sedatives and/or neuromuscular blockers (administe...

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Inadvertent triggering of the ventilator caused by surgically placed pacer wires.

Inadvertent ventilator triggering can occur for various reasons. Leaks in the ventilator circuit, endotracheal tube leaks, tracheal cuff leaks, cardiac oscillations, water condensate causing oscillations in the circuit tubing, ventilator expiratory valve integrity, and overly sensitive triggering mechanism settings may precipitate this phenomena. We present a case of inadvertent ventilator trig...

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Intrahospital transport of critically ill patients using ventilator with patient-triggering function.

OBJECTIVE To compare a new transport ventilator to manual ventilation in terms of maintaining the respiratory and hemodynamic levels of critically ill patients. DESIGN Prospective, randomized, single-center study. SETTING ICU in a university hospital. PATIENTS A total of 16 patients (22 transports) who were spontaneously breathing and required ventilatory assistance on excursions from the...

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Diagnostic Performance of Soluble Triggering Receptor Expressed on Myeloid Cells-1 in Ventilator-Associated Pneumonia of Patients with Ischemic Stroke

Objective. To investigate the effect of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) in serum, bronchoalveolar lavage fluid (BALF), endotracheal aspiration (ETA), and exhaled breath condensate (EBC) samples as early biomarkers for the diagnosis of ventilator-associated pneumonia (VAP) in patients with ischemic stroke. Methods. One hundred and thirty-two patients with clini...

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ژورنال

عنوان ژورنال: Journal of Pediatric Intensive Care

سال: 2015

ISSN: 2146-4618,2146-4626

DOI: 10.3233/pic-13043