title: Patient-ventilator interaction: the last 40 years.
abstract: Patient-ventilator synchrony is a complex issue affected by ventilator performance, patient characteristics, and the patient-ventilator interface. The history of patient-ventilator interaction includes avoidance of pharmacalogic paralysis, the development of spontaneous breathing systems, microprocessor technology to maximize interaction, and closed-loop control. While most clinicians agree that patient-ventilator synchrony is desirable, there remain no cause-and-effect data that asynchrony is associated with poor outcome.
authors.affiliation: Division of Trauma and Critical Care, Department of Surgery, University of Cincinnati Medical Center, 231 Albert Sabin Way, ML 0558, Cincinnati OH, USA. richard.branson@uc.edu
authors.forename: Richard D
authors.initials: RD
authors.lastname: Branson
mesh_terms: D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D012121:Respiration, Artificial / Q000639:trends*; D015656:Respiratory Mechanics / Q000502:physiology; D015300:Ventilator Weaning / Q000639:trends; D012122:Ventilators, Mechanical / Q000639:trends; D014939:Work of Breathing / Q000502:physiology