Current Status of New Modes of Mechanical Ventilation

Current approaches to managing patients requiring ventilatory support have focused on a lung protective strategy. This approach limits peak alveolar pressure and tidal volume, and allows hypercapnia. Although hypercapnia is tolerated by many patients, in some the acute acidosis markedly complicates...

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Main Author: Robert M Kacmarek
Format: Article
Language:English
Published: Wiley 1996-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/1996/248358
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author Robert M Kacmarek
author_facet Robert M Kacmarek
author_sort Robert M Kacmarek
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description Current approaches to managing patients requiring ventilatory support have focused on a lung protective strategy. This approach limits peak alveolar pressure and tidal volume, and allows hypercapnia. Although hypercapnia is tolerated by many patients, in some the acute acidosis markedly complicates clinical management. Tracheal gas insufflation (TGI) has been designed as an adjunct to conventional ventilation to decrease PaCO2. Although no commercial TGI systems are available, TGI holds great promise and can be expected to be available comercially in the future. Pressure ventilation has become the ventilatory approach of the 1990s, whether pressure support or pressure control. However, problems associated with varying tidal volumes have resulted in manufacturers developing ventilatory modes that combine the beneficial effects of both pressure and volume ventilation.
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spelling doaj-art-c60aab6d8cde4f5d897126e6c14207a32025-02-03T06:46:25ZengWileyCanadian Respiratory Journal1198-22411996-01-013635736010.1155/1996/248358Current Status of New Modes of Mechanical VentilationRobert M KacmarekCurrent approaches to managing patients requiring ventilatory support have focused on a lung protective strategy. This approach limits peak alveolar pressure and tidal volume, and allows hypercapnia. Although hypercapnia is tolerated by many patients, in some the acute acidosis markedly complicates clinical management. Tracheal gas insufflation (TGI) has been designed as an adjunct to conventional ventilation to decrease PaCO2. Although no commercial TGI systems are available, TGI holds great promise and can be expected to be available comercially in the future. Pressure ventilation has become the ventilatory approach of the 1990s, whether pressure support or pressure control. However, problems associated with varying tidal volumes have resulted in manufacturers developing ventilatory modes that combine the beneficial effects of both pressure and volume ventilation.http://dx.doi.org/10.1155/1996/248358
spellingShingle Robert M Kacmarek
Current Status of New Modes of Mechanical Ventilation
Canadian Respiratory Journal
title Current Status of New Modes of Mechanical Ventilation
title_full Current Status of New Modes of Mechanical Ventilation
title_fullStr Current Status of New Modes of Mechanical Ventilation
title_full_unstemmed Current Status of New Modes of Mechanical Ventilation
title_short Current Status of New Modes of Mechanical Ventilation
title_sort current status of new modes of mechanical ventilation
url http://dx.doi.org/10.1155/1996/248358
work_keys_str_mv AT robertmkacmarek currentstatusofnewmodesofmechanicalventilation