Ventilator autocycling and delayed recognition of XXXX .

@entity1 @entity1620 @entity1545 @entity386
BACKGROUND: Improvements in technology play an important role in caring for critically ill @entity1 . One example is the advance in ventilator design to facilitate triggering of mechanical breaths. Minimal changes in circuit flow unrelated to respiratory effort can trigger a ventilator breath and may mislead caregivers in recognizing @entity1620 . METHODS: We observed @entity1 with devastating @entity1545 in a mixed medical/surgical intensive care unit (ICU) with a high clinical suspicion for @entity1620 including the absence of cranial nerve function with apparent spontaneous breathing during @entity1 -triggered modes of mechanical ventilation. Further clinical observation for spontaneous respirations was assessed upon removal of ventilatory support. RESULTS: Nine @entity1 with @entity1545 due to multiple etiologies were identified and demonstrated no spontaneous respirations when formally assessed for @entity386 . Length of time between @entity1620 and its recognition could not be determined. CONCLUSION: When @entity1620 @entity1 who are suitable organ donors are mistakenly identified as having cerebral activity, the diagnosis of @entity1620 is delayed. This delay impacts resource utilization, impedes recovery and function of organs for donation, and adversely affects donor families, potential recipients of organs, and @entity1 donors who may have testing and treatment that cannot be beneficial. @entity1 with catastrophic @entity1545 and absent cranial nerve function should undergo immediate formal @entity386 testing.
