Identifying and managing patient–ventilator asynchrony: An international survey

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dc.coverageDOI: 10.1016/j.medin.2019.09.004
dc.creatorRamírez, I. I.
dc.creatorAdasme, R. S.
dc.creatorArellano, D. H.
dc.creatorRocha, A. R.M.
dc.creatorAndrade, F. M.D.
dc.creatorNúñez-Silveira, J.
dc.creatorMontecinos, N. A.
dc.creatorDias, S.
dc.creatorDamiani, L. F.
dc.creatorGutierrez-Arias, R.
dc.creatorLobo-Valbuena, B.
dc.creatorGordo-Vidal, F.
dc.date2021
dc.date.accessioned05-01-2026 18:23
dc.date.available05-01-2026 18:23
dc.description<p>Objective: To describe the main factors associated with proper recognition and management of patient–ventilator asynchrony (PVA). Design: An analytical cross-sectional study was carried out. Setting: An international study conducted in 20 countries through an online survey. Participants: Physicians, respiratory therapists, nurses and physiotherapists currently working in the Intensive Care Unit (ICU). Main variables of interest: Univariate and multivariate logistic regression models were used to establish associations between all variables (profession, training in mechanical ventilation, type of training program, years of experience and ICU characteristics) and the ability of HCPs to correctly identify and manage 6 PVA. Results: A total of 431 healthcare professionals answered a validated survey. The main factors associated to proper recognition of PVA were: specific training program in mechanical ventilation (MV) (OR 2.27; 95%CI 1.14–4.52; p = 0.019), courses with more than 100 h completed (OR 2.28; 95%CI 1.29–4.03; p = 0.005), and the number of ICU beds (OR 1.037; 95%CI 1.01–1.06; p = 0.005). The main factor influencing the management of PVA was the correct recognition of 6 PVAs (OR 118.98; 95%CI 35.25–401.58; p &lt; 0.001). Conclusion: Identifying and managing PVA using ventilator waveform analysis is influenced by many factors, including specific training programs in MV, the number of ICU beds, and the number of recognized PVAs.</p>eng
dc.identifierhttps://investigadores.uandes.cl/en/publications/37dbbcec-3632-4da3-a311-9bc04f087e15
dc.languageeng
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourcevol.45 (2021) nr.3 p.138-146
dc.subjectIntensive Care Unit
dc.subjectMechanical ventilation
dc.subjectPatient–ventilator asynchrony
dc.subjectPatient–ventilator interaction
dc.titleIdentifying and managing patient–ventilator asynchrony: An international surveyeng
dc.titleIdentificación y manejo de la asincronía paciente-ventilador: encuesta internacionalspa
dc.typeArticleeng
dc.typeArtículospa
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