Monitorização do Esforço Inspiratório e Drive Respiratório #302 - SUNDAY PAPER | Ivens Giacomassi

In patients with respiratory failure, assisted mechanical ventilation is frequently used after the initial acute phase to assist the patient's respiratory activity, improve gas exchange, and optimize ventilation and pulmonary perfusion. In this phase, monitoring inspiratory effort and respiratory drive can reduce the risk of patient-induced lung injury (P-SILI), potentially improving prognosis. P-SILI depends on the negative pressure generated by the inspiratory muscles and the positive pressure supplied by the ventilator. Therefore, measuring the inspiratory pressure generated by the patient and assessing respiratory work are essential. For patients without esophageal or gastric catheters, several non-invasive indices have been developed to estimate inspiratory effort, respiratory drive, and assess diaphragmatic function. Link to article: https://pubmed.ncbi.nlm.nih.gov/41788... Chiumello D, Muscas A, Mancusi S, Fioccola A. The invasive and non-invasive monitoring of inspiratory effort and drive during assisted mechanical ventilation. Ann Intensive Care. 2026 Jan 16;16:100003. doi: 10.1016/j.aicoj.2025.100003. PMID: 41788504; PMCID: PMC12934439. ⚠️SUBSCRIBE TO MY CHANNEL HERE!🔔 Social Media: 📷Instagram -   / ivensgiacomassi   👥Facebook -   / ivensgiacomassi   🐦Twitter -   / ivensgiacomassi   Ivens Giacomassi - Physiotherapist - Physiotherapy - Intensive Care