Typical autotriggering : the same cycles, with quite no inspiratory volume and no expiratory volume …the problem of the very sensitive triggers! (1)

French tour of GAVO2 SPLF .In Metz with Dr Mercy, the local pneumologist and member or @gavsplf reading difficult traces

A new somnoNiv workshop today in Paris. The best moment : lecture of traces. Easy to start double triggering

The level is higher and higher….😱

And many discussions to conclude…autotriggerings …not uncoupling neither reverse triggering because the first big cycles are not controlled!!!

Copd are difficult patients to ventilate!!! Even if the Paco2 is normal (from 68 to 48 today!!) but even with very high IPAP sometimes the lung is at this maximum…even if the ventilator AND the patient would like more

A good indirect sign for leaks : when the triggered cycles decrease and the control cycles (wrongly due to leaks (red circles) increase…decrease the triggered cycles is not always a good point!

Autotriggering yes! but due to obstructions… (decrease of the flow). Here we just change the trigger that was very sensitive…few obstructions that we respect

Severe COPD patient, Paco2 48mmhg under niv…the zero line is badly calculated by the software or massive autoEpap? The inefective efforts confirm that it is autoPep…what to do? That’s another question😨

Snoring? Heart beat? Encumbrance? Not so obvious….

Copd patient with Paco2 at 50mm d’hg during the day….would you ventilate this patient? A polysomnography would ve very usefull but as the delay is 3 months….we are going to ventilate him…that’s real life…and that’s probably why copd is the first pathology ventilated at home

Beautiful semiology : no flow and opposition phase …obstructive apnea? Noooo ….the sound gives the answer! Be aware with « respiratory » patients

New quizz, new traces with more details in the answers...the new 2023 traces are here socrative.com Classroom : SOMNONIV2023

A survey about monitoring! we would be interested to know if we are useful 😅 and to prepare the future for you ! forms.gle/HXG7wz8qzB8rqz…

What are these big abdominal movements? spontaneous ventilation and the traces are (spo2/nasal flow/thermistance/ thorax and abdominal belts) ….our hypothesis leg movements…what do you think?

Le questionnaire sur le monitoring est toujours en cours, nous avons 75 réponses, merci de rajouter les vôtres pour monter à 100!! forms.gle/jnc56HgfXSMEz4…

Nice first webinar for difficult traces with the SOMNONIV group, congratulations to the experts who found all the causes! not so obvious...do no be depressed...it was expert level...splf.fr/somnovni/