Specific Training Improves the Detection and Management of Patient-Ventilator Asynchrony

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dc.contributor.authorRamirez, Ivan I.
dc.contributor.authorGutierrez-Arias, Ruvistay
dc.contributor.authorDamiani, L. Felipe
dc.contributor.authorAdasme, Rodrigo S.
dc.contributor.authorArellano, Daniel H.
dc.contributor.authorSalinas, Francisco A.
dc.contributor.authorRoncalli, Angelo
dc.contributor.authorNunez-Silveira, Juan
dc.contributor.authorSantillan-Zuta, Milton
dc.contributor.authorSepulveda-Barisich, Patrick
dc.contributor.authorGordo-Vidal, Federico
dc.contributor.authorBlanch, Lluis
dc.date.accessioned2025-01-20T16:16:20Z
dc.date.available2025-01-20T16:16:20Z
dc.date.issued2024
dc.description.abstractBACKGROUND: Patient -ventilator asynchrony is common in patients undergoing mechanical ventilation. The proportion of health-care professionals capable of identifying and effectively managing different types of patient -ventilator asynchronies is limited. A few studies have developed specific training programs, but they mainly focused on improving patient -ventilator asynchrony detection without assessing the ability of health-care professionals to determine the possible causes. METHODS: We conducted a 36-h training program focused on patient -ventilator asynchrony detection and management for health-care professionals from 20 hospitals in Latin America and Spain. The training program included 6 h of a live online lesson during which 120 patient -ventilator asynchrony cases were presented. After the 6-h training lesson, health-care professionals were required to complete a 1-h training session per day for the subsequent 30 d. A 30 -question assessment tool was developed and used to assess health-care professionals before training, immediately after the 6-h training lecture, and after the 30 d of training (1 -month follow-up).RESULTS: One hundred sixteen health-care professionals participated in the study. The median (interquartile range) of the total number of correct answers in the pre -training, post -training, and 1 -month follow-up were significantly different (12 [8.75-15], 18 [13.75-22], and 18.5 [14-23], respectively). The percentages of correct answers also differed significantly between the time assessments. Study participants significantly improved their performance between pre -training and post -training (P < .001). This performance was maintained after a 1 -month follow-up (P 5 .95) for the questions related to the detection, determination of cause, and management of patient -ventilator asynchrony. CONCLUSIONS: A specific 36-h training program significantly improved the ability of health-care professionals to detect patient -ventilator asynchrony, determine the possible causes of patient -ventilator asynchrony, and properly manage different types of patient -ventilator asynchrony.
dc.fuente.origenWOS
dc.identifier.doi10.4187/respcare.11329
dc.identifier.eissn1943-3654
dc.identifier.issn0020-1324
dc.identifier.urihttps://doi.org/10.4187/respcare.11329
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/90542
dc.identifier.wosidWOS:001198891500018
dc.issue.numero2
dc.language.isoen
dc.pagina.final175
dc.pagina.inicio166
dc.revistaRespiratory care
dc.rightsacceso restringido
dc.subjectmechanical ventilation
dc.subjectintensive care unit
dc.subjectpatient-ventilator interaction
dc.subjectpatient-ventilator asynchrony
dc.subjectcritically ill patient
dc.subjectcritical care
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleSpecific Training Improves the Detection and Management of Patient-Ventilator Asynchrony
dc.typeartículo
dc.volumen69
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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