College

Identify factors that would improve patient ventilator synchrony and factors that would contribute to patient ventilator asynchrony.

A. High respiratory rate set by the ventilator, Matching inspiratory time with the patient's effort
B. Low tidal volume settings, Inappropriate ventilator settings
C. Excessive sedation, Adequate sedation
D. Minimal inspiratory flow support, Reducing trigger sensitivity

Answer :

Final answer:

Patient-ventilator synchrony can be improved by matching inspiratory time with the patient's effort, using appropriate sedation, and reducing trigger sensitivity. Inappropriate ventilator settings, excessive sedation, and minimal inspiratory flow support can contribute to patient-ventilator asynchrony.

Explanation:

Synchrony between the patient and the ventilator is crucial for optimal ventilation. There are several factors that can improve patient-ventilator synchrony:

  • Matching inspiratory time with the patient's effort: When the ventilator initiates the breath at the same time as the patient's effort, it improves synchrony.
  • Adequate sedation: Excessive sedation can lead to patient-ventilator asynchrony, so maintaining an appropriate level of sedation is important for synchrony.
  • Reducing trigger sensitivity: Lowering the sensitivity to activate the ventilator can help synchronize it with the patient's efforts.

On the other hand, factors that can contribute to patient-ventilator asynchrony include:

  • Inappropriate ventilator settings: Incorrect settings, such as low tidal volume or high respiratory rate, can lead to asynchrony.
  • Excessive sedation: Over-sedating the patient can interfere with their ability to synchronize with the ventilator.
  • Minimal inspiratory flow support: Patients may require more inspiratory flow support to synchronize with the ventilator.