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Review Article
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Volume 330:1056-1061 April 14, 1994 Number 15
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Mechanical Ventilation
Martin J. Tobin

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That positive-pressure mechanical ventilation can save lives was proved during the poliomyelitis epidemics of the 1950s1. Since that time there has been a growing increase in the use of ventilatory support, and it has been closely associated with the development of critical care medicine. Early ventilators were used in conjunction with neuromuscular blocking agents to provide controlled ventilation. Today, most machines are triggered by the patient, and there is growing awareness of the complexity of patient-ventilator interaction2,3,4. There is also increasing recognition that ventilators can induce subtle forms of lung injury,5 which has led to a reappraisal of . . . [Full Text of this Article]

Objectives

Ventilator Modes and Settings

Alternative Methods

Adjunctive Therapy

Avoidance of Complications

Discontinuation of Ventilatory Support


Source Information

From the Division of Pulmonary and Critical Care Medicine, Loyola University of Chicago Stritch School of Medicine, and the Edward Hines, Jr., Veterans Affairs Hospital.

Address reprint requests to Dr. Tobin at the Division of Pulmonary and Critical Care Medicine, Loyola University of Chicago Stritch School of Medicine, 2160 S. First Ave., Maywood, IL 60153.

References


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Extract | Full Text  
N Engl J Med 1994; 331:272-274, Jul 28, 1994. Correspondence

Mechanical Ventilation
Corrado A., Messori A., Gorini M., Mecikalski M. B., Tobin M. J.
Extract | Full Text  
N Engl J Med 1994; 331:549-550, Aug 25, 1994. Correspondence

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