Monitoring of invasive assisted mechanical ventilation: a good clinical practice document by the Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI)

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.

Affiliated Institutions

• University of Palermo IT
• University of Milan IT
• Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico IT
• Azienda Ospedaliero Universitaria Maggiore della Carita IT
• University of Trento IT
• Agostino Gemelli University Polyclinic IT
• University of Padua IT
• University of Perugia IT
• Ospedale Santa Chiara IT
• Azienda Sanitaria Locale Alessandria IT
• Università degli Studi del Piemonte Orientale “Amedeo Avogadro” IT
• University of Genoa IT
• Istituti di Ricovero e Cura a Carattere Scientifico IT
• Ospedale Policlinico San Martino IT
• University of Bari Aldo Moro IT
• Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo IT
• University of Foggia IT
• University of Ferrara IT

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