Monitoring of invasive assisted mechanical ventilation: a good clinical practice document by the Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI)
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
- Michela Rauseo (ORCID: https://orcid.org/0000-0001-9718-7454)
- Salvatore Maurizio Maggiore (ORCID: https://orcid.org/0000-0002-1828-9143)
- Davide Colombo (ORCID: https://orcid.org/0000-0003-0756-6632)
- Giorgia Spinazzola (ORCID: https://orcid.org/0000-0001-8055-5142)
- Savino Spadaro (ORCID: https://orcid.org/0000-0001-5027-5318)
- Paolo Navalesi (ORCID: https://orcid.org/0000-0002-3733-3453)
- Lucia Mirabella (ORCID: https://orcid.org/0000-0001-8430-5239)
- Andrea Cortegiani (ORCID: https://orcid.org/0000-0003-1416-9993)
- Giacomo Grasselli (ORCID: https://orcid.org/0000-0002-1735-1400)
- Mariachiara Ippolito (ORCID: https://orcid.org/0000-0001-9851-6301)
- Denise Battaglini (ORCID: https://orcid.org/0000-0002-6895-6442)
- Salvatore Grasso (ORCID: https://orcid.org/0000-0002-0287-0232)
- Rachele Simonte (ORCID: https://orcid.org/0000-0001-7361-4052)
- Antonino Giarratano
- Gianmaria Cammarota
- Giacomo Bellani
Institutions
- University of Foggia (IT)
- Università degli Studi del Piemonte Orientale “Amedeo Avogadro” (IT)
- University of Padua (IT)
- University of Milan (IT)
- University of Trento (IT)
- University of Ferrara (IT)
- University of Perugia (IT)
- Agostino Gemelli University Polyclinic (IT)
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (IT)
- Ospedale Santa Chiara (IT)
- Azienda Ospedaliero Universitaria Maggiore della Carita (IT)
- Azienda Sanitaria Locale Alessandria (IT)
- Ospedale Generale Regionale Francesco Miulli (IT)
- Azienda Ospedaliera Ospedale Maggiore (IT)
- Ospedale Policlinico San Martino (IT)
- Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo (IT)
- Ospedale San Giuseppe (IT)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- University of Bari Aldo Moro (IT)
- University of Genoa (IT)
- University of Palermo (IT)
Publication Details
- Journal
- Journal of Anesthesia Analgesia and Critical Care
- Published
- 2025-12-09
- DOI
- https://doi.org/10.1186/s44158-025-00315-1
- Citations
- 1
- Primary Topic
- Respiratory Support and Mechanisms
- Type
- article
- Field-Weighted Citation Impact
- 1.52
Funders
- Società Italiana Anestesia, Analgesia, Rianimazione e Terapia Intensiva