Adaptive support ventilation in pediatric respiratory failure: Should intensivists be reliant on assistive technology?

2021 ◽  
Author(s):  
Ryan L. DeSanti ◽  
Awni M. Al‐Subu
Keyword(s):  
Respiratory Failure ◽  
Assistive Technology ◽  
Adaptive Support Ventilation ◽  
Support Ventilation ◽  
Adaptive Support

Adaptive support ventilation versus conventional ventilation for total ventilatory support in acute respiratory failure

2010 ◽  
Vol 36 (8) ◽  
pp. 1371-1379 ◽  
Author(s):  
Giorgio A. Iotti ◽  
Andrea Polito ◽  
Mirko Belliato ◽  
Daniela Pasero ◽  
Gaetan Beduneau ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Ventilatory Support ◽  
Conventional Ventilation ◽  
Adaptive Support Ventilation ◽  
Support Ventilation ◽  
Adaptive Support

scholarly journals Adaptive Support Ventilation versus Conventional Ventilation during Hypoxemic Respiratory Failure: A Meta-analysis of Randomized Controlled Trials

2020 ◽  
Author(s):  
Wei Zhang ◽  
Xiaoli Liu ◽  
Can Jin ◽  
Longju Zhang ◽  
Zong’an Liang
Keyword(s):  
Mechanical Ventilation ◽  
Respiratory Failure ◽  
Conventional Ventilation ◽  
Ventilation Mode ◽  
Hypoxemic Respiratory Failure ◽  
Acute Hypoxemic Respiratory Failure ◽  
Adaptive Support Ventilation ◽  
Support Ventilation ◽  
Randomized Controlled ◽  
Adaptive Support

Abstract Background The purpose of the study is to examine whether the adaptive support ventilation (ASV) mode compared with conventional ventilation reduces the duration of mechanical ventilation (MV) in patients with acute respiratory failure. Methods We searched PubMed, the Cochrane Library Central Register of Controlled Trials, EMBASE and Web of Science databases from inception through July 27, 2019. We considered all the randomized controlled studies (RCTs) that examined the efficacy of ASV in comparison with conventional ventilation in mechanically ventilated adults. The primary outcomes were (1) the length of MV, (2) weaning duration and (3) length of stay (LOS) in ICU. Results We included three RCTs for the analysis enrolling a total of 374 patients. Patients treated with ASV had a lower weaning duration than patients treated with conventional ventilation (MD -28.98 [95% CI -42.42, -15.54, p˂0.0001]). Then, 28-day mortality was not different between the two groups (OR 0.95 [95%CI 0.6, 1.52, p=0.83; I2=0%, p=0.96]). The incidence of ventilator-associated pneumonia and sedation level was not included into the quantitative analysis. Conclusions The study showed that a lower number of duration of MV and a shorter number of weaning duration in acute hypoxemic respiratory failure patients treated with ASV than conventional ventilation. Keywords: pulmonary infection; critically ill patients; adaptive support ventilation; hypoxemic respiratory failure Background Acute hypoxemic respiratory failure is a severe disorder of the respiratory system to maintain oxygenation or eliminate carbon dioxide (CO2), leading to a series of metabolic disorders and physiological dysfunction. Mechanical ventilation (MV) serve as a lifesaving therapy is widely employed in intensive care units (ICU) for treating clinical symptoms related to critically illness.[1,2] Employment of mechanical ventilation in patients could help effectively to replace, control and change spontaneous breathing, reduce or eliminate respiratory muscle oxygen consumption, increasing ventilation and improving ventilation[3], removing the residual mucous in airway.[4] The choice of ventilation mode is such a very important issue in ICU that clinicians capable to choose the ventilation mode and adapt the ventilator controls according to the patient's respiratory mechanics.

Application Of Adaptive Support Ventilation In Korean Patients With Acute Lung Injury

2010 ◽  
Author(s):  
Wou Young Chung ◽  
Keu Sung Lee ◽  
Joo Hun Park ◽  
Seung Soo Sheen ◽  
Sung Chul Hwang ◽  
...  
Keyword(s):  
Acute Lung Injury ◽  
Lung Injury ◽  
Adaptive Support Ventilation ◽  
Support Ventilation ◽  
Korean Patients ◽  
Adaptive Support

scholarly journals Adaptive Support Ventilation as a Sole Mode of Mechanical Ventilation-An Observational Study

2017 ◽  
Vol 1 (1) ◽  
pp. 8-12
Author(s):  
L.K. Rajbanshi ◽  
M. Dali ◽  
S.B. Karki ◽  
K. Khanal ◽  
B. Aryal ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Observational Study ◽  
Ventilatory Support ◽  
Control Mode ◽  
Adaptive Support Ventilation ◽  
Support Ventilation ◽  
Adaptive Support ◽  
The Mean

Introduction Adaptive support ventilation (ASV) is a close loop dual control mechanical ventilation mode. This mode can automatically change its parameters to weaning mode once the patient is actively breathing converting volume targeted pressure control mode to volume targeted pressure support mode. We aimed to observe the outcome of the patients ventilated with ASV as a sole mode in terms of duration of mechanical ventilation, duration of weaning from the ventilatory support and length of Intensive care unit (ICU) stay.Methodology We conducted a prospective observational study for the duration of six months (Sept 2015 to Feb 2016) to assess the clinical outcome of the patients ventilated by ASV as a sole mode of ventilation. The study conducted observation of 78 patients without chronic respiratory, renal, hepatic and neurological disease who were admitted in our intensive care unit for invasive ventilatory support.Results Out of the 187 patients who required invasive and noninvasive ventilation, only 78 patients fulfilled the criteria to be included in the study. It was observed that the mean duration of mechanical ventilation was 5.4 days while weaning as well as tracheal extubation was successful within 13 hours of initiation of weaning. The mean duration of ICU stay was found to be 6.3 days.Conclusion We concluded that the patient ventilated by ASV mode were effectively weaned without the need of changing the ventilator mode. However, the safety of ASV mode needs to be established by large randomized control trail in a wide spectrum of patients.Birat Journal of Health Sciences 2016 1(1): 8-12

Adaptive support ventilation

2001 ◽  
Vol 7 (3) ◽  
pp. 425-440 ◽  
Author(s):  
R CAMPBELL ◽  
R BRANSON ◽  
J JOHANNIGMAN
Keyword(s):  
Adaptive Support Ventilation ◽  
Support Ventilation ◽  
Adaptive Support

Evaluation of Adaptive Support Ventilation in Paralysed Patients and in a Physical Lung Model

2004 ◽  
Vol 27 (8) ◽  
pp. 709-716 ◽  
Author(s):  
M. Belliato ◽  
A. Palo ◽  
D. Pasero ◽  
G.A. Iotti ◽  
F. Mojoli ◽  
...  
Keyword(s):  
Lung Model ◽  
Adaptive Support Ventilation ◽  
Support Ventilation ◽  
Adaptive Support ◽  
Physical Lung Model
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