Why Spontaneous Breathing and Synchrony Matters

Explore the importance of spontaneous breathing and patient-ventilator synchrony in critically ill patients through this 23-minute lecture by Laurent Brochard, MD, HDR for OPENPediatrics. Delve into the benefits of early spontaneous breathing activity, including preservation of respiratory muscle function and improved ventilation-perfusion relationships. Examine clinical issues where synchrony matters, such as sleep quality in the ICU, respiratory muscle function, and weaning assessment. Analyze potential drawbacks of perfect synchrony, including amplified transpulmonary pressure swings and over-assistance. Learn about tools to minimize asynchrony and understand its association with ventilation duration. Investigate the impact of different ventilation modes on sleep patterns through a case study comparing assist-control and pressure support ventilation.

Intro
Synchrony
Clinical Issues
Sleep
Poor Synchrony
Neuromuscular Blocker
Mode of Ventilation
Nonsynchronization
Conclusion