Respiratory Mechanics and New Concepts in Mechanical Ventilation

  • Daniel Isabey
  • Laurent Brochard
  • Alain Harf

Abstract

By definition, Mechanical Ventilation is an attempt to maintain or restore a normal rate of gas exchange in patients undergoing short or long term respiratory deficiency. This deficiency may be caused either by a chronic or an acute pulmonary disease, or be a consequence of anesthesia. Since its early age, let us say the beginning of this century, mechanical ventilation has been assigned to reproduce the modalities of normal spontaneous breathing, i. e., a tidal volume in the range VT: 400–800 cm3 (10–12 ml/kg) at an imposed frequency in the range f: 12–24 cpm (0.2–0.4Hz) (72, 73, 84). Delivering a controlled volume at a predetermined frequency is most often achieved by generating a constant flow during a fixed inspiratory time followed by a time limited passive exhalation (42, 98). This mode is called Controlled Mechanical Ventilation (CMV) which implicitly means that flow is controlled.

Keywords

Chronic Obstructive Pulmonary Disease Mechanical Ventilation Airway Pressure Respiratory System Endotracheal Tube 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • Daniel Isabey
    • 1
  • Laurent Brochard
    • 1
  • Alain Harf
    • 1
  1. 1.Institut National de la Santé et de la Recherche Médicale Inserm U296 — Physiologie Respiratoire Services de Réanimation Médicale et d’Exploration Fonctionnelle Respiratoire Département de PhysiologieHôpital Henri MondorCreteil CédexFrance

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