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Basics of mechanical ventilation for non-aneasthetists. Part 2: Clinical aspects
Affiliations- Chair and Department of Anaesthesiology and Intensive Care, Medical University of Silesia in Katowice, Poland
open access
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.
Keywords
mechanical ventilation; acute respiratory distress syndrome; non-invasive ventilation, invasive ventilation; protective ventilation; ventilator-induced lung injury
About this articleTitle
Basics of mechanical ventilation for non-aneasthetists. Part 2: Clinical aspects
Journal
Advances in Respiratory Medicine
Issue
Article type
Review paper
Pages
580-589
Published online
2020-11-03
DOI
10.5603/ARM.a2020.0159
Pubmed
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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