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Title of Journal: Intensive Care Med

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Abbravation: Intensive Care Medicine

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Springer Berlin Heidelberg

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DOI

10.1016/0301-9322(83)90131-3

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1432-1238

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Ten reasons to be more attentive to patients when

Authors: Arnaud W Thille Ferran RocheCampo Laurent Brochard
Publish Date: 2015/04/30
Volume: 42, Issue: 4, Pages: 572-575
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Abstract

Unlike spontaneous breathing or negative pressure ventilation like the one provided by iron lungs mechanical ventilation used today is a form of externally assisted ventilation that delivers positive pressure throughout the respiratory cycle Our means of setting ventilators are far from optimal and most recent advances on mechanical ventilation have involved mitigation of its side effects especially ventilatorinduced lung injury Given the disease and delirium that weaken his/her physical and psychic status the patient is often unable to indicate the best adjustment done by the clinician Misak has reported a personal view on her critical care experience while she was intubated 1 “I was a psychological mess and should not have been taken to be fit to participate in decisions” We wish however to detail ten reasons why we should be more attentive to the patient when setting the ventilator once he/she has recovered his/her spontaneous breathing Table 1AWT and FRC declare they have no potential conflict of interest in relation to this manuscript LB’s research laboratory has received research grants for ventilator companies General Electric Maquet Covidien and Dräger and medical equipment companies Philips Fisher Paykel Vygon

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