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Editorial
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Volume 335:1916-1917 December 19, 1996 Number 25
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Reducing the Use of Mechanical Ventilation

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Mechanical ventilation is used primarily to support patients whose respiratory function is so compromised by drugs, disease, or other conditions that they cannot adequately breathe without assistance. Mechanical ventilation is also used in some patients with normal respiratory function, including those with intracranial hypertension who undergo hyperventilation to alter their cerebral blood flow. Negative-pressure devices, such as the "iron lung," were once used for mechanical ventilation. Currently, positive-pressure ventilators linked to patients by tracheostomy tubes or, more often, endotracheal tubes are primarily used.

Many forms of mechanical ventilation can be furnished in long-term care facilities, homes, or hospital rooms. Nevertheless, . . . [Full Text of this Article]

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