Part of the Update in Intensive Care and Emergency Medicine book series (UICM, volume 5)
Mechanical Ventilation in Cardiogenic and Septic Shock
Hypoxemic or hypercapnic respiratory failure has traditionally been the main cause of mechanical ventilation. Although respiratory failure is a frequent complication of shock, the use of mechanical ventilation has been instituted only when severe gas exchange abnormalities occurred. We maintain that mechanical ventilation should be instituted early in the course of shock for two reasons:
to put the respiratory muscles at rest, and thereby avoid respiratory muscle fatigue, and
to free blood from the working respiratory muscles. The blood can, in turn, supply vital organs.
KeywordsCardiac Output Mechanical Ventilation Septic Shock Cardiogenic Shock Lactic Acidosis
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© Springer-Verlag Berlin Heidelberg 1988