Patient-Ventilator Asynchrony (PAV) Symptoms, Causes, and Treatment

Exhibiting a significant proportion of asynchronous breaths is associated with an almost five-fold increase in ICU mortality,([FOOTNOTE=Blanch L, Villagra A, Sales B, et al. Asynchronies during mechanical ventilation are associated with mortality. Intensive care medicine. 2015;41(4):633-641.],[ANCHOR=View Abstract],[LINK=content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=906058]) a three-fold increase in median duration of mechanical ventilation and a greater than two-fold increase in median hospital length of stay.([FOOTNOTE=de Wit M, Miller KB, Green DA, Ostman HE, Gennings C, Epstein SK. Ineffective triggering predicts increased duration of mechanical ventilation. Critical care medicine. 2009;37(10):2740-2745.],[ANCHOR=View Abstract],[LINK=content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=720867])

Optimize the delivery of mechanical ventilation and subsequent weaning

Approximately 36% of patients admitted to the ICU require mechanical ventilation.([FOOTNOTE=Dasta JF, McLaughlin TP, Mody SH, Piech CT. Daily cost of an intensive care unit day: the contribution of mechanical ventilation. Critical care medicine. 2005;33(6):1266-1271.],[ANCHOR=View Abstract],[LINK=content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=959739])  Those patients who endure a prolonged time on mechanical ventilation are at-risk for greater resource utilization and length of stay. ([FOOTNOTE=Zilberberg MD, Luippold RS, Sulsky S, Shorr AF. Prolonged acute mechanical ventilation, hospital resource utilization, and mortality in the United States. Critical care medicine. 2008;36(3):724-730.],[ANCHOR=View Abstract],[LINK=content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=1203240]) Therefore a great deal of clinical focus has developed around optimizing the delivery of mechanical ventilation and subsequent weaning. An increasing amount of evidence is revealing the relationship between patient-ventilator asynchrony (PAV) and adverse outcome in mechanically ventilated patients including increased time on mechanical ventilation and mortality.^1,2 Therefore, the identification, prevention and resolution of patient-ventilator asynchrony is increasingly being recognized as being integral to the optimization of quality of care for mechanically ventilated patients.

Discover below which software products from Medtronic can help  monitoring patients who have been diagnosed with patient ventilator  asynchrony.