Adaptive support ventilation prevents ventilator-induced diaphragmatic dysfunction: an in vivo piglet study

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Adaptive support ventilation prevents ventilator-induced diaphragmatic dysfunction in piglet: an in vivo and in vitro study.

BACKGROUND Contrary to adaptive support ventilation (ASV), prolonged totally controlled mechanical ventilation (CMV) results in the absence of diaphragm activity and causes ventilator-induced diaphragmatic dysfunction. Because maintaining respiratory muscles at rest is likely a major cause of ventilator-induced diaphragmatic dysfunction, ASV may prevent its occurrence in comparison with CMV. Th...

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Moderate and prolonged hypercapnic acidosis may protect against ventilator-induced diaphragmatic dysfunction in healthy piglet: an in vivo study

INTRODUCTION Protective ventilation by using limited airway pressures and ventilation may result in moderate and prolonged hypercapnic acidosis, as often observed in critically ill patients. Because allowing moderate and prolonged hypercapnia may be considered protective measure for the lungs, we hypothesized that moderate and prolonged hypercapnic acidosis may protect the diaphragm against ven...

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Hypercapnia and ventilator-induced diaphragmatic dysfunction

In the previous issue of Critical Care, Jung and colleagues report on the preventive effects of hypercapnia on ventilator-induced diaphragmatic dysfunction (VIDD) under controlled ventilation. Possibly, a combination of controlled hypercapnia and allowed spontaneous breathing efforts may provide complementary protection for diaphragm and respiratory functionality during mechanical ventilation. ...

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Effects of Lower Tidal Volume on Ventilator-Induced Diaphragmatic Dysfunction

1Department of pediatrics, Chonnam National University Medical School and Hospital, Republic of Korea 2College of Veterinary Medicine, Chonbuk National University, Republic of Korea 3National Institute of Animal Science, Republic of Korea 4Department of Pediatrics, KS hospital, Republic of Korea 5Institute of Animal Medicine, Gyeongsang National University, Republic of Korea 6Department of Thor...

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ژورنال

عنوان ژورنال: Critical Care

سال: 2009

ISSN: 1364-8535

DOI: 10.1186/cc7195