Overview

Patient-Ventilation Asynchronies represent a critical issue to manage in recovered patients in ICU. Improving the patient-ventilator interaction is advisable to avoid excessive sedation, discomfort, fighting with the ventilator, potential cognitive alterations, prolonged mechanical ventilation and additional risk of lung or respiratory muscle injury1. Nowadays, due to the great pressure posed on hospital resources, and the large number of patients needing urgent and massive critical care2, improving patient-ventilator interaction represents an important target to achieve.

Agenda

  • Welcome and introduction - R. Fricker, MD
  • Asynchronies in COVID-19 patients: pathophysiology and recognition - Prof. D. Georgopoulos (15 min)
  • Sedation and neuromuscular blockers to facilitate ventilation in COVID-19 patients - Prof. L. Camporota (15 min)
  • Management of asynchronies in COVID-19 patients: ventilation or sedation? - Prof. K. Vaporidi (15 min)
  • Q&A and Close (15 min)












#patientsafetytalks

Speakers

  • Dimitrios Georgopoulos is a Professor of Medicine and Head of the Department of Intensive Care Medicine of the University Hospital of Heraklion, Medical School, University of Crete, Greece. He is an active board member of several International Intensive Care societies and he has published more than 250 clinical publications on Acute Respiratory Failure, Acute Lung Injury and Mechanical Ventilation.
  • Luigi Camporota is a Professor and Consultant of Intensive Care Medicine at Guy's and St Thomas' NHS Foundation Trust. He is also an honorary senior lecturer in critical care in the division of asthma allergy and lung biology at King's College London. He worked in these years on many different segments always related to Mechanical Ventilation like Respiratory Failure, Advanced modalities of mechanical ventilation and Monitoring techniques for the optimisation of mechanical ventilation in critical patients.
  • Katerina Vaporidi is a Professor of Intensive Care Medicine at University Hospital of Heraklion, Greece. She is collaborating on research at the laboratory of Intensive Care Medicine focusing on mechanisms of common pathologic conditions encountered in Intensive Care that have significant effects on patient outcome, specifically sepsis, acute lung injury (ALI - ARDS) and ventilator-induced lung injury (VILI).
  • Ruth Fricker is anesthesiologist and works at Medtronic as a Medical Affairs Director.
  1. Murias, Gaston; Lucangelo, Umberto; Blanch, Lluis Patient-ventilator asynchrony, Current Opinion in Critical Care: February 2016 - Volume 22 - Issue 1 - p 53-59 doi: 10.1097/MCC.0000000000000270.
  2. Shang, Y., Pan, C., Yang, X. et al. Management of critically ill patients with COVID-19 in ICU: statement from front-line intensive care experts in Wuhan, China. Ann. Intensive Care 10, 73 (2020).