Consensus on identifying and ranking ventilator asynchronies in invasively ventilated ICU patients: a modified Delphi study (SYNAPsE) - PubMed
8 days ago
- #Delphi study
- #Critical care
- #Mechanical ventilation
- Consensus study on identifying and ranking ventilator asynchronies in ICU patients.
- Used Delphi method with multiple-choice questions and Likert-scale statements over nine rounds.
- Identified clinically relevant asynchronies: ineffective triggering, reverse triggering, double triggering, auto-triggering, insufficient flow, premature cycling, and delayed cycling.
- Auto-triggering and delayed cycling were deemed difficult to detect using ventilator waveforms alone.
- Double triggering and ineffective triggering were considered the most clinically relevant across all patient groups.
- In acute respiratory distress syndrome, double triggering, ineffective triggering, and reverse triggering were highlighted as clinically relevant.
- Asynchronies were classified into severe or mild groups in patients without acute respiratory distress syndrome and after cardiac surgery.
- Provides a structured framework for monitoring, intervention, and future research on patient-ventilator asynchronies.