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Author: tpiraino

Ventilation distribution during spontaneous breathing trials predicts liberationfrom mechanical ventilation: the VISION study

October 4, 2025 tpiraino Leave a comment

Study Reference Phoophiboon V, Rodrigues A, Vieira F, et al. Ventilation distribution during spontaneous breathing trials predicts liberation from mechanical…

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Posted in: Research

Frequency of Screening and Spontaneous Breathing Trial Techniques: A Randomized Clinical Trial

October 1, 2025 tpiraino Leave a comment

Study Reference Burns KEA, Wong J, Rizvi L, et al. Frequency of screening and spontaneous breathing trial techniques: A randomized…

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Posted in: Research

Association of respiratory drive and effort with mortalityand time to discharge in patients on mechanical ventilation in Canada: a longitudinal, prospective, registry-based cohort study

September 29, 2025 tpiraino Leave a comment

Study Reference Dianti J, Lovblom LE, Iftikhar MA, et al. Association of respiratory drive and effort with mortality and time…

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Posted in: Research

Limiting Dynamic Driving Pressure in Patients Requiring Mechanical Ventilation

September 26, 2025 tpiraino 3 Comments

Study Reference Urner M, Jüni P, Rojas-Saunero LP, et al. Limiting dynamic driving pressure in patients requiring mechanical ventilation. Crit…

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Posted in: Research

Ineffective Efforts and Reverse Triggering: What’s the difference?

June 13, 2022 tpiraino 2 Comments

Ineffective efforts and reverse triggering share some waveform similarities, so what makes them different?

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Posted in: Asynchrony, Waveforms

Response – What form of asynchrony do you see?

June 9, 2022 tpiraino Leave a comment

With the help of advanced monitoring, these findings are referred to as respiratory entrainment, or reverse triggering. A machine delivered breath (not triggered by the patient) elicits a response (effort) by the patient, and this occurs during, or very shortly after, insufflation by the ventilator.

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Posted in: Asynchrony, Measurements

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The Toronto Centre of Excellence in Mechanical Ventilation (CoEMV) at St. Michael’s Hospital leads in personalized and evidence-based mechanical ventilation through collaborative practice, education, research, and innovation.

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