PATIENT-VENTILATOR ASYNCHRONIES: TYPES, RESULTS, AND DETECTION SKILLS OF THE MULTIDISCIPLINARY TEAM
DOI:
https://doi.org/10.63330/aurumpub.014-024Keywords:
Artificial respiration, Respiratory failure, Interactive ventilatory supportAbstract
Introduction: Patient–ventilator asynchrony (PVA) is a common complication in mechanically ventilated patients, characterized by a mismatch between the patient’s respiratory effort and the support provided by the ventilator. This phenomenon can manifest as ineffective triggering, premature or delayed cycling, and other asynchronies, and is associated with prolonged mechanical ventilation, longer ICU stay, and increased mortality. Objectives: To identify the types of PVA, analyze their clinical impacts, and evaluate the detection skills of the multidisciplinary team in intensive care units. Methods: A literature review was conducted between March and October 2025, with searches in the BVS and PubMed databases using DeCS and MeSH descriptors. Articles published between 2020 and 2025, available in open access and with methodologically compatible designs, were included. The process followed the PRISMA flowchart, resulting in a final selection of eight studies. Results: The studies indicated that advanced ventilatory modes, such as NAVA, PSN, and monitoring via Pmus, improve patient–ventilator synchrony, reduce discomfort, and decrease associated complications. Adjustments of sensitivity, flow, and PEEP, as well as structured protocols, were effective in reducing asynchronies. Conclusion: PVA is a multifactorial challenge that requires early detection, individualized management, and continuous training of the multidisciplinary team to optimize clinical outcomes and patient safety.
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Copyright (c) 2025 Elizamara da Silva Assunção, Thais Melo Gonçalves , Camila de Lima Oliveira, Mayra Vanessa da Costa Guimarães, Hanna Mikaely Cavalcante de Sousa, Hellem Thais do Rosário Pereira, Laís Majoriê de Azevedo Corrêa, Catharina das Graças de Almeida Martins, Thayná Mariana Viana da Silva, Matheus Filho Cardoso Souza, Luana Magnólia Valente Scantbelruy, Andreza Evaldt de Lima, Marília Barbosa Carréra dos Reis, Giulia Bispo de Souza, Letícia Pedrita Sampaio dos Santos, Elaine Glauce Santos de Souza (Autor)
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