Should Intermittent Mandatory Ventilation Be Abolished?

Should Intermittent Mandatory Ventilation Be Abolished?

Intermittent mandatory ventilation (IMV) was introduced nearly 50 years ago. Despite the initial fanfare and early adoption by many, the role of IMV continues to be questioned. The use of small tidal volumes complicates the application of IMV, and issues with work of breathing, weaning and lack of clear advantages have many calling for a moratorium on its use. Spontaneous breathing, however, ha...

[Intermittent mandatory ventilation--I.M.V].

Comparison between intermittent mandatory ventilation and synchronized intermittent mandatory ventilation with pressure support in children.

OBJECTIVE To compare intermittent mandatory ventilation (IMV) with synchronized intermittent mandatory ventilation plus pressure support (SIMV+PS) in terms of time on mechanical ventilation, duration of weaning and length of stay in a pediatric intensive care unit (PICU). METHODS This was a randomized clinical trial that enrolled children aged 28 days to 4 years who were admitted to a PICU be...

Should The WTO Be Abolished?

Why? Because though the US, back in 1948, blocked the formation of an International Trade Organisation (ITO), believing that, at that time, the interests of its corporations would not be served by such a global body, it had changed its mind by the 1990s. Now it wanted an international trade body. Why? Because its global economic dominance was threatened. The flexible GATT (General Agreement on ...

Intermittent Mandatory Ventilation: What's in a Name?

Hence, there is a need for the ventilator, in general, to provide for both spontaneous and mandatory breaths on an intermittent basis. This was the motivation for inventing IMV in the first place, as Kacmarek and Branson mentioned in their paper.1 How does recognition of only type 1 IMV (as in the article by Kacmarek and Branson1) impair our understanding of modes? There are only 3 basic goals ...