Respiratory and Mechanical Ventilation Management: Avoidance of Complications

  • Joan-Daniel Martí
  • Roberto Martinez-Alejos


Invasive mechanical ventilation (IMV) is a live-saving strategy often implemented in critically ill patients to overcome respiratory failure from either an acute, exacerbated or planned (e.g. surgery) clinical situation. However, several respiratory adverse effects may result from the use of mechanical ventilation, increasing morbidity and healthcare costs in these patients. Indeed, mucus retention is highly prevalent in the critically ill, independent of a pre-existent respiratory disease, with associated risk for atelectasis or respiratory infections. Moreover, respiratory muscle weakness is also recognized as a common adverse effect derived from IMV, which may result in a prolonged need for ventilation or intensive care unit length of stay. The knowledge of pathophysiological consequences derived from IMV and adequate respiratory management of critically ill patients is mandatory to ensure the quality of daily care in these patients, whilst also maximizing the potential for a successful ICU discharge. Thus, the purpose of this chapter is to describe the basics of pulmonary complications resulting from intubation and the use of mechanical ventilation in critically ill adults, presenting the most commonly implemented strategies for its management.


Critical care Mechanical ventilation Mucus retention Airway clearance Endotracheal suctioning Humidification Chest physiotherapy Respiratory muscle training 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Joan-Daniel Martí
    • 1
  • Roberto Martinez-Alejos
    • 2
  1. 1.Cardiovascular Surgery ICUHospital ClinicBarcelonaSpain
  2. 2.Department of Critical Care Medicine and Anesthesiology Saint EloiMontpellier University Hospital and School of MedicineMontpellierFrance

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