New Modes of Ventilatory Support in Spontaneously Breathing Intubated Patients

  • R. Stocker
  • B. Fabry
  • C. Haberthür
Conference paper
Part of the Yearbook of Intensive Care and Emergency Medicine book series (YEARBOOK, volume 1997)

Abstract

Controlled mechanical ventilation with/without positive end-expiratory pressure (PEEP) helps in many cases to overcome life-threatening respiratory failure. However, it has some important shortcomings which may lead to potentially deleterious side effects due to substantial differences between mechanical ventilation and spontaneous breathing. During spontaneous breathing, mean transpulmonary pressure is situated around atmospheric pressure whereas pleural pressure is always subatmospheric. Ventilatory pattern varies and tidal volumes are around 7 mL/kg BW. Inspiration is due to an active, dorsal enhanced contraction of the diaphragm and airway resistance is low and mainly situated in the area of the upper airways [1].

Keywords

Fatigue Surfactant Catheter Dioxide Filtration 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • R. Stocker
  • B. Fabry
  • C. Haberthür

There are no affiliations available

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