open access

Vol 88, No 5 (2020)
Review paper
Published online: 2020-10-24
Submitted: 2020-04-27
Accepted: 2020-07-19
Get Citation

Basics of mechanical ventilation for non-anaesthetists. Part 1: Theoretical aspects

Zbigniew Putowski, Marcelina Czok, Piotr S Liberski, Łukasz J Krzych
DOI: 10.5603/ARM.a2020.0143
·
Pubmed: 33169815
·
Adv Respir Med 2020;88(5):424-432.

open access

Vol 88, No 5 (2020)
REVIEWS
Published online: 2020-10-24
Submitted: 2020-04-27
Accepted: 2020-07-19

Abstract

The expanding number of chronic respiratory diseases and the new Covid-19 outbreak create an increasing demand for mechanical ventilation (MV). As MV is no longer limited to intensive care units (ICU) and operating rooms (OR), more clinicians should acquaint themselves with the principles of mechanical ventilation. To fully acknowledge contemporary concepts of MV, it is crucial to understand the elemental physiology and respiratory machine nuances. This paper addresses the latter issues and provides insight into ventilation modes and essential monitoring of  MV.

Abstract

The expanding number of chronic respiratory diseases and the new Covid-19 outbreak create an increasing demand for mechanical ventilation (MV). As MV is no longer limited to intensive care units (ICU) and operating rooms (OR), more clinicians should acquaint themselves with the principles of mechanical ventilation. To fully acknowledge contemporary concepts of MV, it is crucial to understand the elemental physiology and respiratory machine nuances. This paper addresses the latter issues and provides insight into ventilation modes and essential monitoring of  MV.

Get Citation

Keywords

mechanical ventilation; acute respiratory distress syndrome; respiratory physiology; respiratory physics

About this article
Title

Basics of mechanical ventilation for non-anaesthetists. Part 1: Theoretical aspects

Journal

Advances in Respiratory Medicine

Issue

Vol 88, No 5 (2020)

Article type

Review paper

Pages

424-432

Published online

2020-10-24

DOI

10.5603/ARM.a2020.0143

Pubmed

33169815

Bibliographic record

Adv Respir Med 2020;88(5):424-432.

Keywords

mechanical ventilation
acute respiratory distress syndrome
respiratory physiology
respiratory physics

Authors

Zbigniew Putowski
Marcelina Czok
Piotr S Liberski
Łukasz J Krzych

References (20)
  1. Kübler A, Maciejewski D, Adamik B, et al. Mechanical ventilation in ICUs in Poland: a multi-center point-prevalence study. Med Sci Monit. 2013; 19: 424–429.
  2. Yang X, Yu Y, Xu J, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. The Lancet Respiratory Medicine. 2020; 8(5): 475–481.
  3. Pham T, Brochard LJ, Slutsky AS. Mechanical ventilation: state of the art. Mayo Clin Proc. 2017; 92(9): 1382–1400.
  4. Pilawski A, Puchalik M. Strukturalne właściwości materii, Podstawy biofizyki: podręcznik dla studentów medycyny. Pilawski A (ed.). PZWL, Warszawa 1985: 69–95.
  5. Pilawski A. Biofizyka układu oddechowego, Podstawy biofizyki: podręcznik dla studentów medycyny. Pilawski A (ed.). PZWL, Warszawa 1985: 311–323.
  6. Gutkowski P, Konturek S. Fizjologia oddychania, fizjologia człowieka. Podręcznik dla studentów medycyny. Konturek S (ed.). Elsevier Urban & Partner, Wrocław 2013: 235–303.
  7. Halliday HL. The fascinating story of surfactant. J Paediatr Child Health. 2017; 53(4): 327–332.
  8. Yuan Lei. Budowa systemu wentylacyjnego, Respiratory. Przewodnik Kliniczny. Łazowski T (ed.). Makmed, Lublin: 2018, 65–97.
  9. Rittner F. Curves and loops in mechanical vVentilation. Drager Technology for Life Dragerwerk AG and Co KGaA, Lubeck, 2015: 4–60.
  10. Traczyk J. Budowa respiratora, wentylacja mechaniczna — teoria i praktyka. Maciejewski D, Wojnar-Gruszka K (ed.). α-medica press, Bielsko-Biała 2016: 61–117.
  11. Service Manual Puritan Bennet 840 Ventilator System. Available online: www.medtronic.com/content/dam/covidien/library/us/en/product/acute-care-ventilation/PB840_Technical_Reference_Manual_EN_10067720D00.pdf. [Last acccessed at: 10.02.2020].
  12. Yuan Lei. Nawilżanie, nebulizacja i filtrowanie gazów. Respiratory. Przewodnik Kliniczny. Łazowski T (ed.). Makmed, Lublin 2018: 101–133.
  13. Yuan Lei. Podstawowe zmienne i typy oddechu. Respiratory. Przewodnik Kliniczny. Łazowski T (ed.). Makmed, Lublin 2018: 137–161.
  14. Chacko B, Peter J, Tharyan P, et al. Pressure-controlled versus volume-controlled ventilation for acute respiratory failure due to acute lung injury (ALI) or acute respiratory distress syndrome (ARDS). Cochrane Database of Systematic Reviews. 2015.
  15. Chatburn RL. Classification of ventilator modes: update and proposal for implementation. Respir Care. 2007; 52: 301–323.
  16. Younes M. Proportional assist ventilation, a new approach to ventilatory support: theory. American Review of Respiratory Disease. 1992; 145(1): 114–120.
  17. Yuan Lei. Podstawowe zmienne i typy oddechu. Respiratory. Przewodnik Kliniczny. Łazowski T (ed.). Makmed, Lublin 2018: 137–161.
  18. Park JHa, Lee JS, Lee JH, et al. Effect of the prolonged inspiratory to expiratory ratio on oxygenation and respiratory mechanics during surgical procedures. Medicine (Baltimore). 2016; 95(13): e3269.
  19. Reddy RM, Guntupalli KK. Review of ventilatory techniques to optimize mechanical ventilation in acute exacerbation of chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2007; 2: 441–452.
  20. Maciejewski D. Podstawowe tryby wentylacji mechanicznej. Wentylacja mechaniczna — teoria i praktyka. Maciejewski D, Wojnar-Gruszka K (ed.). α-medica press, Bielsko-Biała 2016, 154–193.

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