That positive-pressure mechanical ventilation can save liveswas proved during the poliomyelitis epidemics of the 1950s1.Since that time there has been a growing increase in the useof ventilatory support, and it has been closely associated withthe development of critical care medicine. Early ventilatorswere used in conjunction with neuromuscular blocking agentsto provide controlled ventilation. Today, most machines aretriggered by the patient, and there is growing awareness ofthe complexity of patient-ventilator interaction2,3,4. Thereis also increasing recognition that ventilators can induce subtleforms 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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McKee P., Fuller G. N., Stevens D. L., MacRae K. D., Burgerman R. S., Rogawski M. A., Murphy J. R., Bensimon G., Lacomblez L., Meininger V., Rowland L. P., Caillard C.G., Louvel E., Randle J.C.R.
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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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