Respiratory Failure
Conditions
Keywords
Ventilator, patient-ventilator asynchrony
Brief summary
Although patient-ventilator asynchrony is a frequent phenomenon, its course following management is unknown. As the aid of a data recording system, we try to observe the consequence of patient-ventilator asynchrony following management. Our target is aimed at the patients with high asynchronization index ( \> 10%) as this group of patients have been shown to have prolonged course in intensive care unit and are also prone to be tracheostomized
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* patients admitted to respiratory intensive care unit with acute respiratory failure and presence of patient-ventilator asynchrony(AI of more than 10%) * patient can trigger the ventilator
Exclusion criteria
* High oxygen fraction: \> 60%. * High PEEP need: \> 12cmH2O. * Hemodynamic unstable: shock * Central nervous system problem. * Hyperacitve delirium * Without informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Asynchrony index (AI). (Number of asynchrony events/total respiratory rate) | 20 minutes after alternation of ventilator settings or any therapeutic means |
Countries
Taiwan