Division of Trauma and Critical Care, Department of Surgery, University of Cincinnati Medical Center, 231 Albert Sabin Way, ML 0558, Cincinnati OH, USA.
Respir Care. 2011 Jan;56(1):15-24. doi: 10.4187/respcare.00937.
Patient-ventilator synchrony is a complex issue affected by ventilator performance, patient characteristics, and the patient-ventilator interface. The history of patient-ventilator interaction includes avoidance of pharmacalogic paralysis, the development of spontaneous breathing systems, microprocessor technology to maximize interaction, and closed-loop control. While most clinicians agree that patient-ventilator synchrony is desirable, there remain no cause-and-effect data that asynchrony is associated with poor outcome.
患者-呼吸机同步性是一个复杂的问题，受呼吸机性能、患者特征和人机界面的影响。患者-呼吸机相互作用的历史包括避免药物性瘫痪、自主呼吸系统的发展、最大限度地提高相互作用的微处理器技术以及闭环控制。虽然大多数临床医生都认为患者-呼吸机同步性是理想的，但仍没有因果关系的数据表明不同步与不良结果有关。
