Automatic Adjustment for Asynchronies During Mechanical Ventilation
Asynchronies between the patient and the artificial ventilator are a frequent problem. They may cause altered sleep, ventilator-induced lung injury, prolong length of ICU stay, cause neuro-psycologic complications and increase mortality. Although reducing their incidence through ventilator setting adjustments is possible, they frequently go undetected and it also requires that attendings remain at the bedside to repeatedly modify ventilator parameters. Ventilator systems may detect and automatically adjust parameters of mechanical ventilation. This would avoid delays in detection and adjustment if the intensivist is not immediately available. The investigators intend to study an automatic detection and adjustment tool which is incorporated in the ventilator software.
- EligibilityCriteria: Inclusion Criteria:  Age >17 years Partial ventilatory support ("SPONT" mode) connected to Hamilton C1 model, irrespective of chronic restrictive or obstructive lung disease, categorized by RCexp (Expiratory time constant): restrictive (RCExp <0.6); obstructive (RCExp >0.9); normal (RCExp 0.6 - 0.9). Software version SW3.0.0 or superior and the IntelliSync+ software tool available in invasive and non-invasive ventilation. Presence of asyncronies in pressure and volume curves tracings of the ventilator. Signed informed content.  Exclusion Criteria:  Pregnant On extracorporeal respiratory support (ECMO or ECCO2R) - HealthyVolunteers: No - Gender: All - MinimumAge: 18 Years - StdAgeList: Adult, Older Adult