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Consultant intensivist Anaesthesia and Intensive Care 1 Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy
Department of clinical-surgical, diagnostic and paediatric sciences, University of Pavia, Pavia, Italy
Dr. Lluís Blanch, Dr. Jean-Michel Arnal and Prof. Francesco Mojoli discuss why patient-ventilator synchrony is important, how to detect asynchronies, and technical solutions for optimising synchronisation. Definition and clinical effects Patient-ventilator asynchrony occurs when there is a mismatch between the patient’s inspiratory time and the mechanical breath (phase asynchrony) or when...
READ MOREPoint-of-care ultrasound (POCUS) is now a tool used worldwide, integrating clinical assessment of the critically ill. In this review, we focus on lung, diaphragm and cardiac ultrasound in the management of the mechanically ventilated patient. Ultrasound provides useful information to assess and monitor lung aeration, to set mechanical ventilation and to early identify respiratory complications, such...
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