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Specific Training Improves the Detection and Management of Patient-Ventilator Asynchrony
dc.contributor.author | Ramírez, Iván I. | |
dc.contributor.author | Gutiérrez-Arias, Ruvistay | |
dc.contributor.author | Damiani, L. Felipe | |
dc.contributor.author | Adasme, Rodrigo S. | |
dc.contributor.author | Arellano, Daniel H. | |
dc.contributor.author | Salinas, Francisco A. | |
dc.contributor.author | Roncalli, Angelo | |
dc.contributor.author | Núuñez-Silveira, Juan | |
dc.contributor.author | Santillán-Zuta, Milton | |
dc.contributor.author | Sepúulveda-Barisich, Patrick | |
dc.contributor.author | Gordo-Vidal, Federico | |
dc.contributor.author | Blanch, Lluís | |
dc.date.accessioned | 2024-06-19T04:52:04Z | |
dc.date.available | 2024-06-19T04:52:04Z | |
dc.date.issued | 2024 | |
dc.identifier | 10.4187/respcare.11329 | |
dc.identifier.issn | 00201324 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12728/11379 | |
dc.description.abstract | BACKGROUND: 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. © 2024 Daedalus Enterprises. | es_ES |
dc.language.iso | en | es_ES |
dc.publisher | American Association for Respiratory Care | es_ES |
dc.subject | critical care | es_ES |
dc.subject | critically ill patient | es_ES |
dc.subject | intensive care unit | es_ES |
dc.subject | mechanical ventilation | es_ES |
dc.subject | patient-ventilator asynchrony | es_ES |
dc.subject | patient-ventilator interaction | es_ES |
dc.title | Specific Training Improves the Detection and Management of Patient-Ventilator Asynchrony | es_ES |
dc.type | Article | es_ES |