Framework for patient-ventilator asynchrony during long-term non-invasive ventilation

Jesus Gonzalez-Bermejo, Jean Paul Janssens, Claudio Rabec, Christophe Perrin, Frédéric Lofaso, Bruno Langevin, Annalisa Carlucci, Manel Lujan

    Research output: Contribution to journalArticleResearch

    13 Citations (Scopus)

    Abstract

    © Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ. Episodes of patient-ventilator asynchrony (PVA) occur during acute and chronic non-invasive positive pressure ventilation (NIV). In long-term NIV, description and quantification of PVA is not standardised, thus limiting assessment of its clinical impact. The present report provides a framework for a systematic analysis of polygraphic recordings of patients under NIV for the detection and classification of PVA validated by bench testing. The algorithm described uses two different time windows: rate asynchrony and intracycle asynchrony. This approach should facilitate further studies on prevalence and clinical impact of PVA in long-term NIV.
    Original languageEnglish
    Pages (from-to)715-717
    JournalThorax
    Volume74
    DOIs
    Publication statusPublished - 1 Jul 2019

    Keywords

    • asynchrony
    • central sleep apnea
    • home ventilators
    • monitoring
    • non-invasive ventilation
    • obstructive sleep apnoea
    • polysomnography
    • sleep-disordered breathing

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