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Mechanical Ventilation

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Abstract

Positive-pressure ventilation as we know it came into its own during the polio epidemics of the 1950s.1 Since that time, the use of mechanical ventilatory support has been synonymous with the growth of critical care medicine. Early ventilation used neuromuscular blocking agents to suppress spontaneous respiratory effort. Today, patient-ventilator interaction is understood to be crucial, and there is a growing awareness of complications associated with neuromuscular blockade.2 Finally, there is increasing recognition that ventilators can induce various forms of lung injury, which has led to reappraisal of the goals of ventilatory support.3 Although it seems that each manufacturer of mechanical ventilators has introduced differing modes of mechanical ventilation, fundamental principles of ventilator management of critically ill patients remain unchanged.

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References

  1. Ibsen B. The anesthetist’s viewpoint on the treatment of respiratory complications in poliomyelitis during the epidemic in Copenhagen, 1952. Proc R Soc Med 1954;47:72–74.

    PubMed  CAS  Google Scholar 

  2. Hansen-Flaschen J, Cowen J, Raps EC. Neuromuscular blockade in the intensive care unit. More than we bargained for. Am Rev Respir Dis 1993;147:234–236.

    PubMed  CAS  Google Scholar 

  3. Dreyfuss D, Saumon G. Ventilator-induced lung injury. Am J Respir Crit Care Med 1998;157:294–323.

    PubMed  CAS  Google Scholar 

  4. Tobin MJ. Mechanical ventilation. N Engl J Med 1994;330:1056–1061.

    Article  PubMed  CAS  Google Scholar 

  5. Robertson CH Jr, Foster GH, Johnson RL Jr. The relationship of respiratory failure to the oxygen consumption of, lactate production by, and distribution of blood flow among respiratory muscles during increasing inspiratory resistance. J Clin Invest 1977;59:31–42.

    Article  PubMed  CAS  Google Scholar 

  6. Robertson CH Jr, Pagel MA, Johnson RL Jr. The distribution of blood flow, oxygen consumption, and work output among the respiratory muscles during unobstructed hyperventilation. J Clin Invest 1977;59:43–50.

    Article  PubMed  Google Scholar 

  7. Pinsky MR. The effects of mechanical ventilation on the cardiovascular system. Crit Care Clin 1990;6:663–678.

    PubMed  CAS  Google Scholar 

  8. Mathru M, Rao TLK, El-Etr AA, et al. Hemodynamic response to changes in ventilatory patterns in patients with normal and poor left ventricular reserve. Crit Care Med 1982;10:423–426.

    Article  PubMed  CAS  Google Scholar 

  9. Rossi A, Gottfried SB, Zocchi L, et al. Measurement of static compliance of the total respiratory system in patients with acute respiratory failure during mechanical ventilation: the effect of intrinsic positive end-expiratory pressure. Am Rev Respir Dis 1985;131:672–677.

    PubMed  CAS  Google Scholar 

  10. Gurevitch MJ, Gelmont D. Importance of trigger sensitivity to ventilator response delay in advanced chronic obstructive pulmonary disease with respiratory failure. Crit Care Med 1989;17:354–359.

    Article  PubMed  CAS  Google Scholar 

  11. Pepe PE, Marini JJ. Occult positive end-expiratory pressure in mechanically ventilated patients with airflow obstruction: the auto-PEEP effect. Am Rev Respir Dis 1982;126:166–170.

    PubMed  CAS  Google Scholar 

  12. Richecoeur J, Lu Q, Vieira SR, et al. Expiratory washout versus optimization of mechanical ventilation during permissive hypercapnia in patients with severe acute respiratory distress syndrome. Am J Respir Crit Care Med 1999;160:77–85.

    PubMed  CAS  Google Scholar 

  13. Slutsky AS. Mechanical ventilation. Chest 1993;104:1833–1859.

    Article  PubMed  CAS  Google Scholar 

  14. Esteban A, Anzueto A, Alia I, et al. How is mechanical ventilation employed in the intensive care unit? An international utilization review. Am J Respir Crit Care Med 2000;161:1450–1458.

    PubMed  CAS  Google Scholar 

  15. Tobin MJ. Advances in mechanical ventilation. N Engl J Med 2001;344:1986–1996.

    Article  PubMed  CAS  Google Scholar 

  16. Mador MJ. Assist-control ventilation. In: Tobin JM, ed. Principles and Practice of Mechanical Ventilation. New York: McGraw-Hill, 1994:207–219.

    Google Scholar 

  17. Groeger JS, Levinson MR, Carlon GC. Assist control versus synchronized intermittent mandatory ventilation during acute respiratory failure. Crit Care Med 1989;17:607–612.

    Article  PubMed  CAS  Google Scholar 

  18. Sassoon CSH. Intermittent mandatory ventilation. In: Tobin JM, ed. Principles and Practice of Mechanical Ventilation. New York: McGraw-Hill, 1994:221–237.

    Google Scholar 

  19. Downs JB, Perkins HM, Modell JH. Intermittent mandatory ventilation. Arch Surg 1974;109:519–523.

    PubMed  CAS  Google Scholar 

  20. Marini JJ, Smith TC, Lamb VJ. External work output and force generation during synchronized intermittent mechanical ventilation: effect of machine assistance on breathing effort. Am Rev Respir 1988;138:1169–1179.

    CAS  Google Scholar 

  21. Marini JJ. Pressure-controlled ventilation. In: Tobin JM, ed. Principles and Practice of Mechanical Ventilation. New York: McGraw-Hill, 1994:305–317.

    Google Scholar 

  22. Maclntyre NR. Respiratory function during pressure support ventilation. Chest 1986;89:677–683.

    Article  Google Scholar 

  23. Brochard L, Pluskwa F, Lemaire F. Improved efficacy of spontaneous breathing with inspiratory pressure support. Am Rev Respir Dis 1987;136:411–415.

    PubMed  CAS  Google Scholar 

  24. Brochard L. Pressure support ventilation. In: Tobin JM, ed. Principles and Practice of Mechanical Ventilation. New York: McGraw-Hill, 1994:239–257.

    Google Scholar 

  25. Leung P, Jubran A, Tobin MJ. Comparison of assisted ventilator modes on triggering, patient effort, and dyspnea. Am J Respir Crit Care Med 1997;155:1940–1948.

    PubMed  CAS  Google Scholar 

  26. Marcy T, Marini J. Inverse ratio ventilation: rationale and implementation. Chest 1991;100:494–504.

    Article  PubMed  CAS  Google Scholar 

  27. East T, Böhm S, Wallace C, et al. A successful computerized protocol for clinical management of pressure control inverse ratio ventilation in ARDS patients. Chest 1992;101:697–710.

    Article  PubMed  CAS  Google Scholar 

  28. Stock M, Downs J, Frolicher D. Airway pressure release ventilation. Crit Care Med 1987;15:462–466.

    Article  PubMed  CAS  Google Scholar 

  29. Product literature. Siemens Servo 300 ventilator, reference manual, ventilation modes no. 60-26-608-E313E. Solna, Sweden: Siemens Corp., 1992.

    Google Scholar 

  30. Amato MBP, Barbas CSV, Bonassa J, et al. Volume-assured pressure support ventilation (VAPSV). A new approach for reducing muscle workload during acute respiratory failure. Chest 1992;102:1225–1234.

    Article  PubMed  CAS  Google Scholar 

  31. Younes M, Puddy A, Roberts D, et al. Proportional assist ventilation: results of an initial clinical trial. Am Rev Respir Dis 1992;145:121–129.

    PubMed  CAS  Google Scholar 

  32. Drazen JM, Kamm RD, Slutsky AS, et al. High-frequency ventilation. Physiol Rev 1984;64:505–543.

    PubMed  CAS  Google Scholar 

  33. Derdak S, Mehta S, Stewart TE, et al. High-frequency oscillatory ventilation for acute respiratory distress syndrome in adults: a randomized, controlled trial. Am J Respir Crit Care Med 2002;166:801–808.

    Article  PubMed  Google Scholar 

  34. Mehta S, Granton J, MacDonald RJ, et al. High-frequency oscillatory ventilation in adults: the Toronto experience. Chest 2004;126:518–527.

    Article  PubMed  Google Scholar 

  35. Kolobow T, Moretti MP, Fumagalli R, et al. Severe impairment in lung function induced by high peak airway pressure during mechanical ventilation: an experimental study. Am Rev Respir Dis 1987;135:312–315.

    PubMed  CAS  Google Scholar 

  36. Hernandez LA, Coker PJ, May S, et al. Mechanical ventilation increases microvascular permeability in oleic acid-injured lungs. J Appl Physiol 1990;69:2057–2061.

    PubMed  CAS  Google Scholar 

  37. Tobin MJ. Respiratory monitoring in the intensive care unit. Am Rev Respir Dis 1988;138:1625–1642.

    PubMed  CAS  Google Scholar 

  38. Tuxen DV. Permissive hypercapnia. In: Tobin MJ, ed. Principles and Practice of Mechanical Ventilation. New York: McGraw-Hill, 1994:371–392.

    Google Scholar 

  39. Darioli R, Perret C. Mechanical controlled hypoventilation in status asthmaticus. Am Rev Respir Dis 1984;129:385–387.

    PubMed  CAS  Google Scholar 

  40. Connors AF Jr., McCaffree DR, Gray BA. Effect of inspiratory flow rate on gas exchange during mechanical ventilation. Am Rev Respir Dis 1981;124:537–543.

    PubMed  Google Scholar 

  41. Marini JJ, Capps JS, Culver BH. The inspiratory work of breathing during assisted mechanical ventilation. Chest 1985;87:612–618.

    Article  PubMed  CAS  Google Scholar 

  42. Malo J, Ali J, Wood LDH. How does positive end-expiratory pressure reduce intrapulmonary shunt in canine pulmonary edema? J Appl Physiol 1984;57:1002–1010.

    PubMed  CAS  Google Scholar 

  43. Katz JA, Marks JD. Inspiratory work with and without continuous positive airway pressure in patients with acute respiratory failure. Anesthesiology 1985;63:598–607.

    PubMed  CAS  Google Scholar 

  44. Smith TC, Marini JJ. Impact of PEEP on lung mechanics and work of breathing in severe airflow obstruction. J Appl Physiol 1988;65:1488–1499.

    PubMed  CAS  Google Scholar 

  45. Tobin MJ, Lodato RF. PEEP, auto-PEEP, and waterfalls. Chest 1989;96:449–451.

    Article  PubMed  CAS  Google Scholar 

  46. The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000;342:1301–1308.

    Article  Google Scholar 

  47. Schmidt GA, Hall JB. Management of the ventilated patient. In: Hall JB, Schmidt GA, Wood LDH, eds. Principles of Critical Care, 2nd ed. New York: McGraw-Hill, 1998.

    Google Scholar 

  48. Aubier M, Trippenbach T, Roussos C. Respiratory muscle fatigue during cardiogenic shock. J Appl Physiol 1981;51:499–508.

    PubMed  CAS  Google Scholar 

  49. Rodriguez-Roisin R, Ballester E, Roca J, et al. Mechanisms of hypoxemia in patients with status asthmaticus requiring mechanical ventilation. Am Rev Respir Dis 1989;139:732–739.

    PubMed  CAS  Google Scholar 

  50. Gay PC, Rodarte JR, Hubmayr RD. The effects of positive expiratory pressure on isovolume flow and dynamic hyperinflation in patients receiving mechanical ventilation. Am Rev Respir Dis 1989;139:621–626.

    PubMed  CAS  Google Scholar 

  51. Tuxen DV. Detrimental effects of positive end-expiratory pressure during controlled mechanical ventilation of patients with severe airflow obstruction. Am Rev Respir Dis 1989;140:5–9.

    PubMed  CAS  Google Scholar 

  52. Ware LB, Matthay MA. The acute respiratory distress syndrome. N Engl J Med 2000;342:1334–1349.

    Article  PubMed  CAS  Google Scholar 

  53. Brower RG, Ware LB, Berthiaume Y, et al. Treatment of ARDS. Chest 2001;120:1347–1367.

    Article  PubMed  CAS  Google Scholar 

  54. Ranieri VM, Suter PM, Tortorella C, et al. Effect of mechanical ventilation on inflammatory mediators in patients with acute respiratory distress syndrome: a randomized controlled trial. JAMA 1999;282:54–61.

    Article  PubMed  CAS  Google Scholar 

  55. Respiratory monitoring. In: Tobin MJ, ed. Principles and Practice of Intensive Care Monitoring. New York: McGraw-Hill, 1998:187–718.

    Google Scholar 

  56. Tobin MJ, Perez W, Guenther SM, et al. The pattern of breathing during successful and unsuccessful trials of weaning from mechanical ventilation. Am Rev Respir Dis 1986;134:1111–1118.

    PubMed  CAS  Google Scholar 

  57. Jubran A, Mathru M, Dries D, et al. Continuous recordings of mixed venous oxygen saturation during weaning from mechanical ventilation and the ramifications thereof. Am J Respir Crit Care Med 1998;158:1763–1769.

    PubMed  CAS  Google Scholar 

  58. Yang KL, Tobin MJ. A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. N Engl J Med 1991;324:1445–1450.

    PubMed  CAS  Google Scholar 

  59. Brochard L, Rauss A, Benito S, et al. Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 1994;150:896–903.

    PubMed  CAS  Google Scholar 

  60. Esteban A, Frutos F, Tobin MJ, et al. A comparison of four methods of weaning patients from mechanical ventilation. N Engl J Med 1995;332:345–350.

    Article  PubMed  CAS  Google Scholar 

  61. Stoller JK. Establishing clinical unweanability. Respir Care 1991;36:186–198.

    Google Scholar 

  62. Tobin MJ, Alex CH. Discontinuation of mechanical ventilation. In: Tobin MJ, ed. Principles and Practice of Mechanical Ventilation. New York: McGraw-Hill, 1994:1177–1206.

    Google Scholar 

  63. Dries DJ, McGonigal MD, Malian MS, et al. Protocol-driven ventilator weaning reduces use of mechanical ventilation, rate of early reintubation, and ventilator-associated pneumonia. J Trauma 2004;56:943–952.

    Article  PubMed  Google Scholar 

  64. Acton RD, Hotchkiss JR, Dries DJ. Noninvasive ventilation. J Trauma 2002;53:593–601.

    Article  PubMed  Google Scholar 

  65. Liesching T, Kwok H, Hill NS. Acute applications of noninvasive positive pressure ventilation. Chest 2003;124:699–713.

    Article  PubMed  Google Scholar 

  66. McCulloch TM, Bishop MJ. Complications of translaryngeal intubation. Clin Chest Med 1991;12:507–521.

    PubMed  CAS  Google Scholar 

  67. Meduri GU. Noninvasive positive-pressure ventilation in patients with acute respiratory failure. Clin Chest Med 1996;17:513–553.

    Article  PubMed  CAS  Google Scholar 

  68. Guerin C, Girard R, Chemorin C, et al. Facial mask noninvasive ventilation reduces the incidence of nosocomial pneumonia: a prospective epidemiological study from a single ICU. Intensive Care Med 1997;23:1024–1032.

    Article  PubMed  CAS  Google Scholar 

  69. Antonelli M, Conti G, Rocco M, et al. A comparison of noninvasive positive-pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure. N Engl J Med 1998;339:429–435.

    Article  PubMed  CAS  Google Scholar 

  70. Girou E, Schortgen F, Deldaux C, et al. Association of noninvasive ventilation with nosocomial infections and survival in critically ill patients. JAMA 2000;284:2361–2367.

    Article  PubMed  CAS  Google Scholar 

  71. Hilbert G, Gruson D, Vargas F, et al. Noninvasive ventilation in immunosuppressed patients with pulmonary infiltrates, fever and acute respiratory failure. N Engl J Med 2001;344:481–487.

    Article  PubMed  CAS  Google Scholar 

  72. Hotchkiss JR, Marini JJ. Noninvasive ventilation: an emerging supportive technique for the emergency department. Ann Emerg Med 1998;32:470–478.

    Article  PubMed  CAS  Google Scholar 

  73. Rusterholtz T, Kempf J, Berton C, et al. Noninvasive pressure support ventilation (NIPSV) with face mask in patients with acute cardiogenic pulmonary edema (ACPE). Intensive Care Med 1999;25:21–28.

    Article  PubMed  CAS  Google Scholar 

  74. Pennock BE, Kaplan PD. Noninvasive ventilation for postoperative support and facilitation of weaning. Respir Care Clin N Am 1996;2:293–311.

    PubMed  CAS  Google Scholar 

  75. Abir F, Bell R. Assessment and management of the obese patient. Crit Care Med 2004;32(sppl):S87–S91.

    Article  PubMed  Google Scholar 

  76. Abou-Shala N, Meduri GU. Noninvasive mechanical ventilation in patients with acute respiratory failure. Crit Care Med 1996;24:705–715.

    Article  PubMed  CAS  Google Scholar 

  77. Auriant I, Jallot A, Hervé P, et al. Noninvasive ventilation reduces mortality in acute respiratory failure following lung resection. Am J Respir Crit Care Med 2001;164:1231–1235.

    PubMed  CAS  Google Scholar 

  78. Mehta S, Hill N. Noninvasive ventilation in acute respiratory failure. Respir Care Clin N Am 1996;2:267–292.

    PubMed  CAS  Google Scholar 

  79. Meduri GU, Turner RE, Abou-Shala N, et al. Noninvasive positive pressure ventilation via face mask: first-line intervention in patients with hypercapnic and hypoxemic respiratory failure. Chest 1996;109:179–193.

    Article  PubMed  CAS  Google Scholar 

  80. Meduri GU, Abou-Shala N, Fox RC, et al. Noninvasive face mask mechanical ventilation in patients with acute hypercapnic respiratory failure. Chest 1991;100:445–454.

    Article  PubMed  CAS  Google Scholar 

  81. Stock MC, Downs JB, Gauer PK, et al. Prevention of postoperative pulmonary complications with CPAP, incentive spirometry, and conservative therapy. Chest 1985;87:151–157.

    Article  PubMed  CAS  Google Scholar 

  82. Lindner KH, Lotz P, Ahnefeld FW. Continuous positive airway pressure effect on functional residual capacity, vital capacity and its subdivisions. Chest 1987;2:66–70.

    Article  Google Scholar 

  83. Esteban A, Frutos-Vivar F, Niall D, et al. Noninvasive positive-pressure ventilation for respiratory failure after extubation. N Engl J Med 2004;350:2452–2460.

    Article  PubMed  CAS  Google Scholar 

  84. Truwit JD, Bernard GR. Noninvasive ventilation—don’t push too hard. N Engl J Med 2004;350:2512–2515.

    Article  PubMed  CAS  Google Scholar 

  85. Gattinoni L, Pelosi P, Suter PM, et al. Acute respiratory distress syndrome due to pulmonary and extra-pulmonary disease: different syndromes? Am J Respir Crit Care Med 1998;158:3–11.

    PubMed  CAS  Google Scholar 

  86. Marini JJ, Gattinoni L. Ventilatory management of acute respiratory distress syndrome: a consensus of two. Crit Care Med 2004;32:250–255.

    Article  PubMed  Google Scholar 

  87. Meduri GU, Belenchia JM, Estes RJ, et al. Fibroproliferative phase of ARDS: clinical findings and effects of corticosteroids. Chest 1991;100:943–952.

    Article  PubMed  CAS  Google Scholar 

  88. Meduri GU, Chinn AJ, Leeper KV. Corticosteroid rescue treatment of progressive fibroproliferation in late ARDS: patterns of response and outcome. Chest 1994;105:1516–1527.

    Article  PubMed  CAS  Google Scholar 

  89. Meduri GU, Headley AS, Golden E, et al. Effect of prolonged methylprednisolone therapy in unresolving acute respiratory distress syndrome: a randomized controlled trial. JAMA 1998;280:159–165.

    Article  PubMed  CAS  Google Scholar 

  90. Bernard GR, Artigas A, Brigham KL, et al. The American European Consensus Conference on ARDS: definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med 1994;149:818–824.

    PubMed  CAS  Google Scholar 

  91. Dreyfuss D, Basset G, Soler P, et al. Intermittent positive-pressure hyperventilation with high inflation pressures produces pulmonary microvascular injury in rats. Am Rev Respir Dis 1985;132:880–884.

    PubMed  CAS  Google Scholar 

  92. Dreyfuss D, Soler P, Basset G, et al. High inflation pressure pulmonary edema: respective effects of high airway pressure, high tidal volume, and positive end-expiratory pressure. Am Rev Respir Dis 1988;137:1159–1164.

    PubMed  CAS  Google Scholar 

  93. Dreyfuss D, Soler P, Saumon G. Spontaneous resolution of pulmonary edema caused by short periods of cyclic overinflation. J Appl Physiol 1992;72:2081–2089.

    PubMed  CAS  Google Scholar 

  94. Amato MBP, Barbas CSV, Medeiros DM, et al. Beneficial effects of the “open lung approach” with low distending pressures in acute respiratory distress syndrome. Am J Respir Crit Care Med 1995;152:1835–1846.

    PubMed  CAS  Google Scholar 

  95. Marini JJ. Lung mechanics in the adult respiratory distress syndrome: recent conceptual advances and implications for management. Clin Chest Med 1990;11:673–690.

    PubMed  CAS  Google Scholar 

  96. Benito S, LeMaire F. Pulmonary pressure-volume relationship in acute respiratory distress syndrome in adults: role of positive end-expiratory pressure. J Crit Care 1990;5:27–34.

    Article  Google Scholar 

  97. Hickling KG, Henderson SJ, Jackson R. Low mortality associated with low volume pressure limited ventilation with permissive hypercapnia in severe adult respiratory distress syndrome. Intensive Care Med 1990;16:372–377.

    Article  PubMed  CAS  Google Scholar 

  98. Hickling KG, Walsh J, Henderson S, et al. Low mortality rate in adult respiratory distress syndrome using low-volume, pressure-limited ventilation with permissive hypercapnia: a prospective study. Crit Care Med 1994;22:1568–1578.

    PubMed  CAS  Google Scholar 

  99. Amato MB, Barbas CS, Medeiros DM, et al. Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 1998;338:347–354.

    Article  PubMed  CAS  Google Scholar 

  100. Brochard L, Roudot-Thoraval F, Roupie E, et al. Tidal volume reduction for prevention of ventilator-induced lung injury in acute respiratory distress syndrome: the Multicenter Trial Group on Tidal Volume Reduction in ARDS. Am J Respir Crit Care Med 1998;158:1831–1838.

    PubMed  CAS  Google Scholar 

  101. Brower RG, Shanholtz CB, Fessler HE, et al. Prospective, randomized, controlled clinical trial comparing traditional versus reduced tidal volume ventilation in acute respiratory distress syndrome patients. Crit Care Med 1999;27:1492–1498.

    Article  PubMed  CAS  Google Scholar 

  102. Stewart TE, Meade MO, Cook DJ, et al. Evaluation of a ventilation strategy to prevent barotrauma in patients at high risk for acute respiratory distress syndrome. N Engl J Med 1998;338:355–361.

    Article  PubMed  CAS  Google Scholar 

  103. The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000;342:1301–1308.

    Article  Google Scholar 

  104. Eichacker PQ, Gerstenberger EP, Banks SM, et al. Meta-analysis of acute lung injury and acute respiratory distress syndrome trials testing low tidal volumes. Am J Respir Crit Care Med 2002;166:1510–1514.

    Article  PubMed  Google Scholar 

  105. Brower RG, Lanken PN, Maclntyre N, et al. Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome. N Engl J Med 2004;351:327–336.

    Article  PubMed  Google Scholar 

  106. Lim SC, Adams AB, Simonson DA, et al. Intercomparison of recruitment maneuver efficacy in three models of acute lung injury. Crit Care Med 2004;32:2371–2377.

    Article  PubMed  Google Scholar 

  107. Lim SC, Adams AB, Simonson DA, et al. Transient hemodynamic effects of recruitment maneuvers in three experimental models of acute lung injury. Crit Care Med 2004;32:2378–2384.

    Article  PubMed  Google Scholar 

  108. O’Connor M, Hall JB, Schmidt GA, et al. Acute hypoxemic respiratory failure. In: Hall JB, Schmidt GA, Wood LDH, eds. Principles of Critical Care. New York: McGraw-Hill, 1998:537–559.

    Google Scholar 

  109. Milbert JA, Davis DR, Steinberg KP, et al. Improved survival of patients with acute respiratory distress syndrome (ARDS): 1983-1993. JAMA 1995;273:306–309.

    Article  Google Scholar 

  110. Abel SJC, Finney SJ, Brett SJ, et al. Reduced mortality in association with the acute respiratory distress syndrome (ARDS). Thorax 1998;53:292–294.

    PubMed  CAS  Google Scholar 

  111. McHugh LG, Milberg JA, Whitcomb ME, et al. Recovery of function in survivors of the acute respiratory distress syndrome. Am J Respir Crit Care Med 1994;150:90–94.

    PubMed  CAS  Google Scholar 

  112. Ghio AJ, Elliott CG, Crapo RO. Impairment after adult respiratory distress syndrome: an evaluation based on American Thoracic Society recommendations. Am Rev Respir Dis 1989;139:1158–1162.

    PubMed  CAS  Google Scholar 

  113. Elliott CG, Rasmusson BY, Crapo RO, et al. Prediction of pulmonary function abnormalities after adult respiratory distress syndrome (ARDS). Am Rev Respir Dis 1987;135:634–638.

    PubMed  CAS  Google Scholar 

  114. Suchyta MR, Elliott CG, Jensen RL, et al. Predicting the presence of pulmonary function impairment in adult respiratory distress syndrome survivors. Respiration 1993;60:103–108.

    Article  PubMed  CAS  Google Scholar 

  115. Weinert CR, Gross CR, Kangas JR, et al. Health-related quality of life after acute lung injury. Am J Respir Crit Care Med 1997;156:1120–1128.

    PubMed  CAS  Google Scholar 

  116. Davidson TA, Caldwell ES, Curtis JR, et al. Reduced quality of life in survivors of acute respiratory distress syndrome compared with critically ill control patients. JAMA 1999;281:354–360.

    Article  PubMed  CAS  Google Scholar 

  117. Herridge MS, Cheung AM, Tansey CM, et al. One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J Med 2003;348:683–693.

    Article  PubMed  Google Scholar 

  118. Kirby RR, Downs JB, Civetta JM, et al. High level positive end expiratory pressure (PEEP) in acute respiratory insufficiency. Chest 1975;67:156–163.

    Article  PubMed  CAS  Google Scholar 

  119. Pepe PE, Hudson LD, Carrico CJ. Early application of positive end-expiratory pressure in patients at risk for adult respiratory-distress syndrome. N Engl J Med 1984;311:281–286.

    Article  PubMed  CAS  Google Scholar 

  120. Mure M, Martling C-R, Lindahl SGE. Dramatic effect on oxygenation in patients with severe acute lung insufficiency treated in the prone position. Crit Care Med 1997;25:1539–1544.

    Article  PubMed  CAS  Google Scholar 

  121. Nakos G, Tsangaris I, Kostanti E, et al. Effect of the prone position on patients with hydrostatic pulmonary edema compared with patients with acute respiratory distress syndrome and pulmonary fibrosis. Am J Respir Crit Care Med 2000;161:360–368.

    PubMed  CAS  Google Scholar 

  122. Zapol WM, Snider MT, Hill JD, et al. Extracorporeal membrane oxygenation in severe acute respiratory failure: a randomized prospective study. JAMA 1979;242:2193–2196.

    Article  PubMed  CAS  Google Scholar 

  123. Carlon GC, Howland WS, Ray C, et al. High-frequency jet ventilation: a prospective randomized evaluation. Chest 1983;84:551–559.

    Article  PubMed  CAS  Google Scholar 

  124. Lessard MR, Guerot E, Lorino H, et al. Effects of pressure-controlled with different I:E ratios versus volume-controlled ventilation on respiratory mechanics, gas exchange, and hemodynamics in patients with adult respiratory distress syndrome. Anesthesiology 1994;80:983–991.

    Article  PubMed  CAS  Google Scholar 

  125. Morris AH, Wallace CJ, Menlove RL, et al. Randomized clinical trial of pressure-controlled inverse ratio ventilation and extracorporeal C02 removal for adult respiratory distress syndrome. Am J Respir Crit Care Med 1994;149:295–305.

    PubMed  CAS  Google Scholar 

  126. Hirschl RB, Pranikoff T, Wise C, et al. Initial experience with partial liquid ventilation in adult patients with the acute respiratory distress syndrome. JAMA 1996;275:383–389.

    Article  PubMed  CAS  Google Scholar 

  127. Fort P, Farmer C, Westerman J, et al. High-frequency oscillatory ventilation for adult respiratory distress syndrome: pilot study. Crit Care Med 1997;25:937–947.

    Article  PubMed  CAS  Google Scholar 

  128. Gattinoni L, Tognoni G, Pesenti A, et al. Effect of prone positioning on the survival of patients with acute respiratory failure. N Engl J Med 2001;345:568–573.

    Article  PubMed  CAS  Google Scholar 

  129. Gainnier M, Michelet P, Thirion X, et al. Prone position and positive end-expiratory pressure in acute respiratory distress syndrome. Crit Care Med 2003;31:2719–2726.

    Article  PubMed  Google Scholar 

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Dries, D.J., Perry, J.F. (2008). Mechanical Ventilation. In: Norton, J.A., et al. Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-68113-9_32

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