ventilator desynchrony is a term that describes a mismatch of the timing and gas delivery between a
patient and the mechanical ventilator we created this video to cover the medical
definition and provide a brief overview of this topic so if you're ready let's get into it
as previously mentioned ventilator desynchrony is characterized by inappropriate timing of a
delivered breath between a patient and the mechanical ventilator this increases work of
breathing and makes it more difficult for the patient to breathe comfortably on the machine
in this case due to intubation the patient is unable to communicate which makes it
challenging for respiratory therapists and medical professionals patient ventilator asynchrony is a
similar term used to describe this interaction and can generally be used interchangeably with
ventilator dyssynchrony patient ventilator discipline can result in a number of adverse
effects including the following patient discomfort increased work of breathing respiratory distress
increased anxiety overextension ventilator induced lung injury prolonged sedation
prolonged duration of mechanical ventilation and increased time in the icu each adverse
effect caused by patient ventilator to synchrony is associated with an increased mortality rate
some examples of the common causes of ventilator dyssynchrony include the following ineffective
triggering incorrect ventilator mode incorrect ventilator settings inappropriate triggering flow
to synchrony exhalation to synchrony auto peep artificial airway problems drug induced problems
and certain lung diseases this synchrony can occur due to several other causes as well
these are just a few of the most common examples the management of ventilator desynchrony depends
on the specific costs since inappropriate ventilator settings are typically involved
making proper adjustments appears to be the best treatment method for example the practitioner may
need to adjust the flow sensitivity or inspiratory time a different ventilator mode may be considered
as well patient ventilator dyssynchrony can occur in both assisted and controlled
mechanically ventilated breasts with that said in general the less control the ventilator has
on the patient's respiratory pattern the less likely they will experience disinquity
volume controlled ventilation typically results in more cases of the synchrony because it controls
volume flow and time on the other hand modes such as pressure support ventilation typically result
in the least amount of the synchrony cases proportional assist ventilation and neurally
adjusted ventilatory assist are two ventilator modes that are effective in avoiding the synchrony
that is because they allow the patient to select the ventilatory pattern that is delivered
but again for this video we just wanted to provide you with a brief overview of this topic
we'll be breaking it down into much more detail in a separate video real quick if you don't mind
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and if you want to dive even deeper we do have a full guide on our website
i will drop a link to it right below this video down in the description thank you so much for
watching all the way to the end have a blessed day and as always breathe these my friends
you