Patient-Ventilator Interaction in the Long-Term Acute-Care Hospital

Optimizing patient-ventilator synchrony is essential in managing patients who require prolonged mechanical ventilation in the long-term acute-care hospital. Inadequate synchrony can increase work of breathing, cause patient discomfort, and delay both weaning and general rehabilitation. Achieving opt...

Full description

Saved in:
Bibliographic Details
Published in:Respiratory care 2011-02, Vol.56 (2), p.207-213
Main Authors: GHAMLOUSH, Maher, O'CONNOR, Heidi H, WHITE, Alexander C
Format: Article
Language:English
Subjects:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anxiety - prevention & control
Artificial respiration
Biological and medical sciences
Care and treatment
Clinical death. Palliative care. Organ gift and preservation
Delirium - prevention & control
Depression - prevention & control
Health aspects
Hospital patients
Humans
Intensive care medicine
Long-Term Care
Medical sciences
Physiological aspects
Respiration
Respiration, Artificial
Respiratory Insufficiency - physiopathology
Respiratory Insufficiency - therapy
Risk Factors
Tracheostomy
Ventilator Weaning
Ventilators, Mechanical
Work of Breathing - physiology
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Optimizing patient-ventilator synchrony is essential in managing patients who require prolonged mechanical ventilation in the long-term acute-care hospital. Inadequate synchrony can increase work of breathing, cause patient discomfort, and delay both weaning and general rehabilitation. Achieving optimal synchrony in the long-term acute-care hospital depends on a number of factors, including adjusting ventilator settings in response to improving lung function; adjusting psychotropic medications to control delirium, anxiety, and depression; and ensuring there is a well positioned correctly sized tracheostomy tube in the airway. The purpose of this review is to provide an update on issues pertinent to patient-ventilator synchrony in the LTACH setting.
ISSN:0020-1324
1943-3654
DOI:10.4187/respcare.01084