Monitoring of invasive assisted mechanical ventilation: a good clinical practice document by the Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI)
Year: 2025
Type: article
Abstract: The Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI) developed a good clinical practice document providing consensus-based statements on the monitoring of respiratory variables during weaning from invasive mechanical ventilation in adult patients. The aim was to summarize key parameters and available monitoring techniques to support healthcare professionals in daily clinical practice. The statements and supporting rationales were drafted by a panel of 10 experts to assist clinicians in selecting appropriate monitoring tools for the various respiratory functions involved during assisted ventilation. A total of 13 statements were issued, grouped into 8 items (rationale for monitoring, choice of the level of assistance, monitoring of respiratory patterns, respiratory effort, diaphragm functionality, respiratory drive, patient-ventilator synchrony, discontinuation of invasive assisted ventilation). The panel's work offers a practical bedside tool designed to optimize monitoring while acknowledging the heterogeneity of practices and equipment across Italian intensive care units.
Authors: Davide Colombo, Mariachiara Ippolito, Giacomo Bellani, Denise Battaglini, Gianmaria Cammarota, Andrea Cortegiani, Antonino Giarratano, Salvatore Grasso, Salvatore M. Maggiore, Lucia Mirabella, Paolo Navalesi, Michela Rauseo, Rachele Simonte, Savino Spadaro, Giorgia Spinazzola, Giacomo Grasselli
Institutions: Università degli Studi del Piemonte Orientale “Amedeo Avogadro”, Azienda Ospedaliero Universitaria Maggiore della Carita, Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo, University of Palermo, University of Trento, Ospedale Santa Chiara, Ospedale Policlinico San Martino, University of Genoa, Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo, University of Bari Aldo Moro, Ospedale Generale Regionale Francesco Miulli, University of Foggia, University of Padua, Azienda Ospedale - Università Padova, University of Perugia, University of Ferrara, Agostino Gemelli University Polyclinic, Istituti di Ricovero e Cura a Carattere Scientifico, University of Milan, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,079
OpenAlex ID: W4417162280