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Sleep efficiency and architecture appeared very different for both modes of ventilation (NAVA and PSV).
For both modes of ventilation, inspiratory triggering sensitivity was set at thresholds that would not allow auto-triggering for both modes of ventilation: 0.5 mV in NAVA and 5 in PSV.
For each patient the mean airway pressure was kept constant for both modes of ventilation, 4.5 ± 0.65 cmH2O.
Each patient included in the study benefited in an unpredictable way from both modes of ventilation, NAVA or PSV.
In one horse breathing was spontaneous, four horses were ventilated with IPPV for the whole procedure, and five horses experienced both modes of ventilation.
Similar(55)
For both controlled modes of ventilation an inspiratory:expiratory ratio of 1 1 was chosen.
Even though the total number of asynchrony events was relatively low during both modes of assisted mechanical ventilation, it is somewhat surprising that patient-ventilator synchrony was higher during noisy compared to conventional PSV.
New modes of ventilation, such as neutrally adjusted ventilator assist, have been documented to reduce asynchrony [ 34].
Quality of sleep is negatively affected with frequent patient-ventilator asynchronies and more specifically with modes of ventilation.
Future changes in ventilator management strategies or the introduction of novel modes of ventilation might alter the performance or feasibility of VAC criteria.
New modes of ventilation have been established in recent years to improve patient-ventilator synchrony [ 9].
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