Ventilator Synchrony Issues

Dealing with vibrations of respiratory drive in the critically ill patient is one of the most challenging areas of supporting the patient requiring mechanical ventilation.

The solutions to try and resolve patients who have high drive are normally based around the use of a pharmacological approach, however there are also other options that can be considered that are part of the ICU ventilator.

Dr Lluis Blanch is globally accepted as a leader in this field and his presentation will be important for everyone to understand the complexities and the solitons that can be considered.

Asynchronies are very often present during all periods of MV and in all modes.

Asynchronies in general are probably not related with a bad outcome.

However, high cumulative duration of clusters of asynchronies (double trigger) is associated with a poor prognosis.

Sedation does not control respiratory drive.

Do not forget that ventilator management demands greater understanding of physiological principles

All clinicians involved in the treatment of patients on mechanical ventilation such as ICU doctors, nurses, respiratory therapists, physiotherapists and industry persons involved in the ventilation business