Advances in Mechanical Ventilation

doi:10.1056/NEJM200106283442606

Volume 344:1986-1996		June 28, 2001		Number 26

Advances in Mechanical Ventilation

Martin J. Tobin, M.D.

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The chief reason that patients are admitted to an intensivecare unit is to receive ventilatory support. In this article,I update the basic principles of mechanical ventilation, whichI reviewed in the Journal in 1994,¹ and discuss recent advances.

Basic Principles

The indications for mechanical ventilation, as derived froma study of 1638 patients in eight countries,² are acute respiratoryfailure (66 percent of patients), coma (15 percent), acute exacerbationof chronic obstructive pulmonary disease (13 percent), and neuromusculardisorders (5 percent). The disorders in the first group includethe acute respiratory distress syndrome, heart failure, pneumonia,sepsis, complications of surgery, . . . [Full Text of this Article]

Coordinating Respiratory Effort and Mechanical Ventilation

Improving Oxygenation and Preventing Lung Injury

Discontinuing Mechanical Ventilation

Other Approaches to Mechanical Ventilation

Conclusions

Source Information

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

Address reprint requests to Dr. Tobin at the Division of Pulmonary and Critical Care Medicine, Edward Hines, Jr., Veterans Affairs Hospital, Rte. 111N, Hines, IL 60141, or at mtobin2@luc.edu.

References

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