Mechanical Ventilation

  • Shivakumar S. Iyer
  • Jignesh Shah


  • Mechanical ventilation may have detrimental effects on the circulation and lungs and should be used appropriately.

  • A mode of ventilation refers to how the ventilator performs the work of the respiratory muscles. Common ventilatory modes include volume control, pressure control, and pressure support.

  • The goals of mechanical ventilation are to treat hypoxia and hypercapnia and to provide rest to the respiratory muscles.

  • Ventilator-associated lung injury should be minimized by avoiding volutrauma by limiting tidal volumes, barotrauma by limiting airway pressures, and atelectrauma by appropriate use of positive end expiratory pressure (PEEP).

  • A stepwise approach to assessment of respiratory failure and treatment by mechanical ventilation can help improve outcomes in critically ill patients.


Chronic Obstructive Pulmonary Disease Respiratory Muscle Pressure Support Ventilation Noninvasive Ventilation Inspiratory Time 
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  1. 1.
    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;342:1301–8.CrossRefGoogle Scholar

Further Reading

  1. Cairo JM. Pilbeam’s Mechanical ventilation; Physiological and clinical applications. 5th ed. Mosby; 2012.Google Scholar
  2. John G, Peter JV, Subramani K, Pichamuthu K, Chacko B. Essentials of Critical Care, Volume I, 8th Edition, Division of Critical Care, Christian Medical College, Vellore, 2011.Google Scholar
  3. Mechanical ventilation: the Dept of Anesthesia and Intensive Care, CUHK, accessed at
  4. Tobin MJ. Principles and practice of mechanical ventilation. 3rd ed. New York: Published by McGraw Hill Professional; 2012.Google Scholar

Copyright information

© Springer India 2016

Authors and Affiliations

  1. 1.Department of Critical CareBharati Vidyapeeth University Medical CollegeDhankawadi, PuneIndia

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