Automatic selection of breathing pattern using adaptive support ventilation

Arnal, Jean-Michel; Wysocki, Marc; Nafati, Cyril; Donati, Stéphane Y.; Granier, I.; Corno, Gaëlle; Durand-Gasselin, Jacques

doi:10.1007/s00134-007-0847-0

Cited by 89 publications

(56 citation statements)

References 30 publications

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“…40 Various forms of adaptive ventilation are also in the preliminary stages of development and investigation, including proportional assist ventilation, 41 mandatory minute ventilation, 42 volume-assured pressure support 43 and adaptive support ventilation. 44 …”

Section: Clinical Evidencementioning

confidence: 99%

Neonatal ventilators: how do they differ?

Donn

2009

J Perinatol

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Remarkable technological advances over the past two decades have brought dramatic changes to the neonatal intensive care unit. Microprocessor-based mechanical ventilation has replaced time-cycled, pressure-limited, intermittent mandatory ventilation with almost limitless options for the management of respiratory failure in the prematurely born infant. Unfortunately, much of the infusion of technology occurred before the establishment of a convincing evidence base. This review focuses on the basic principles of mechanical ventilation, nomenclature and the characteristics of both conventional and high-frequency devices.

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Section: Clinical Evidencementioning

confidence: 99%

Neonatal ventilators: how do they differ?

Donn

2009

J Perinatol

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“…Some studies have evaluated the use of ASV in weaning cardiac surgery patients and have shown a reduction in weaning time, a reduced need for arterial blood gas (ABG) analyses, and fewer ventilator adjustments [9,10,13,14]. The use of ASV in patients with COPD has been described previously [12,15], but only one study reported the use of ASV as a weaning mode for chronically ventilated patients, some of whom had COPD [16]. Our study was therefore designed to compare ASV with PSV in the weaning of COPD patients.…”

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confidence: 99%

Adaptive support ventilation for faster weaning in COPD: a randomised controlled trial

et al. 2011

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Adaptive support ventilation (ASV) is a closed-loop ventilation mode that can act both as pressure support ventilation (PSV) and pressure-controlled ventilation. Weaning with ASV shows promising results, mainly in post-cardiac surgery patients. The aim of the present randomised controlled study was to test the hypothesis that weaning with ASV could reduce the weaning duration in patients with chronic obstructive pulmonary disease (COPD) when compared with PSV.From among 435 COPD patients admitted to the intensive care unit (ICU) during a 20-month period, 97 were enrolled. Patients were assigned at random to either ASV or PSV as a weaning mode.Compared with PSV, ASV provided shorter weaning times (median 24 (interquartile range 20-62) h versus 72 (24-144) h, p50.041) with similar weaning success rates (35 out of 49 for ASV and 33 out of 48 for PSV). Length of stay in the ICU was also shorter with ASV but the difference was not statistically significant.This study suggests that ASV may be used in the weaning of COPD patients with the advantage of shorter weaning times. Further studies are needed to investigate the role and potential advantages of ASV in the weaning period of different patient groups.

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“…12 A study published in this Journal went as far as 120 mL/cm H 2 O in evaluating performances of ventilators. 13 We agree that ICU patients rarely have such a compliance value. Some of our patients in our ambulances are in this category (isolated neurotrauma in the first hours, for example).…”

Section: Choice Of Parametersmentioning

confidence: 86%