Should Intermittent Mandatory Ventilation Be Abolished?
نویسندگان
چکیده
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, has a number of salutatory effects on gas exchange, the distribution of ventilation, and hemodynamics. These issues will be explored in light of a growing body of evidence.
منابع مشابه
Combined oscillatory and mandatory ventilation in newborn infants
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For more than 40 years conventional mechanical ventilation has been used for the treatment of neonatal respiratory failure. Until relatively recently, this was accomplished with time-cycled pressure-limited ventilation, using intermittent mandatory ventilation. Earlier attempts at volume-targeted ventilation were largely ineffective because of technological limitations. The advent of microproce...
متن کاملComparison 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...
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عنوان ژورنال:
- Respiratory care
دوره 61 6 شماره
صفحات -
تاریخ انتشار 2016