open access

Vol 88, No 6 (2020)
Review paper
Submitted: 2020-04-27
Accepted: 2020-07-19
Published online: 2020-11-03
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Basics of mechanical ventilation for non-aneasthetists. Part 2: Clinical aspects

Zbigniew Putowski1, Marcelina Czok1, Piotr S Liberski1, Łukasz J Krzych1
DOI: 10.5603/ARM.a2020.0159
·
Pubmed: 33393651
·
Adv Respir Med 2020;88(6):580-589.
Affiliations
  1. Chair and Department of Anaesthesiology and Intensive Care, Medical University of Silesia in Katowice, Poland

open access

Vol 88, No 6 (2020)
REVIEWS
Submitted: 2020-04-27
Accepted: 2020-07-19
Published online: 2020-11-03

Abstract

Invasive and non-invasive mechanical ventilation (MV) continues to be the most significant life support method. It is, however, coupled with many risks. Historically, concepts of MV did focus on improving the arterial blood gas results rather than preventing harmful side-effects of positive pressure ventilation. Since then, multiple studies exploring this matter emerged and led to the protective MV concept. The golden mean between assuring the best oxygenation and limiting the ventilator-induced lung injury (VILI) is still a matter of debate. These considerations are especially impactful while treating patients with adult respiratory distress syndrome (ARDS), where the limitation of MV’s negative effect is specifically important. This paper explores the protective ventilation concept and clinical implications of the latter.

Abstract

Invasive and non-invasive mechanical ventilation (MV) continues to be the most significant life support method. It is, however, coupled with many risks. Historically, concepts of MV did focus on improving the arterial blood gas results rather than preventing harmful side-effects of positive pressure ventilation. Since then, multiple studies exploring this matter emerged and led to the protective MV concept. The golden mean between assuring the best oxygenation and limiting the ventilator-induced lung injury (VILI) is still a matter of debate. These considerations are especially impactful while treating patients with adult respiratory distress syndrome (ARDS), where the limitation of MV’s negative effect is specifically important. This paper explores the protective ventilation concept and clinical implications of the latter.

Get Citation

Keywords

mechanical ventilation; acute respiratory distress syndrome; non-invasive ventilation, invasive ventilation; protective ventilation; ventilator-induced lung injury

About this article
Title

Basics of mechanical ventilation for non-aneasthetists. Part 2: Clinical aspects

Journal

Advances in Respiratory Medicine

Issue

Vol 88, No 6 (2020)

Article type

Review paper

Pages

580-589

Published online

2020-11-03

DOI

10.5603/ARM.a2020.0159

Pubmed

33393651

Bibliographic record

Adv Respir Med 2020;88(6):580-589.

Keywords

mechanical ventilation
acute respiratory distress syndrome
non-invasive ventilation
invasive ventilation
protective ventilation
ventilator-induced lung injury

Authors

Zbigniew Putowski
Marcelina Czok
Piotr S Liberski
Łukasz J Krzych

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