Patient-Ventilator Dyssynchrony: How is the Effect of Management?

Patient-Ventilator Dyssynchrony: How is the Effect of Management?

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

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