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New Modes of Ventilatory Support in Spontaneously Breathing Intubated Patients

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Yearbook of Intensive Care and Emergency Medicine 1997

Part of the book series: Yearbook of Intensive Care and Emergency Medicine ((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].

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Authors
  1. R. Stocker
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  2. B. Fabry
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  3. C. Haberthür
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Editor information

Editors and Affiliations

  1. Department of Intensive Care, Erasme Hospital, Free University of Brussels, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent (Clinical Director) (Clinical Director)

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© 1997 Springer-Verlag Berlin Heidelberg

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Stocker, R., Fabry, B., Haberthür, C. (1997). New Modes of Ventilatory Support in Spontaneously Breathing Intubated Patients. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1997. Yearbook of Intensive Care and Emergency Medicine, vol 1997. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-13450-4_43

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  • DOI: https://doi.org/10.1007/978-3-662-13450-4_43

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-13452-8

  • Online ISBN: 978-3-662-13450-4

  • eBook Packages: Springer Book Archive

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