Document Detail

Negative-pressure ventilation.
MedLine Citation:
PMID:  2198994     Owner:  NLM     Status:  MEDLINE    
In this review, we make the following major points: (1) Canine experiments indicate that in an experimental model of ARDS, cyclic NPV plus NEEP is as effective as cyclic PPV plus PEEP in treating arterial hypoxemia. Because cyclic NPV plus NEEP does not depress cardiac output as much as cyclic PPV plus PEEP, further study of this potential therapy is warranted. (2) At the present time, NPV has little use in neonatal medicine. (3) However, in adult medicine, NPV is efficacious for providing chronic ventilatory support in patients with neuromuscular and chest wall diseases. Additionally, the role of NPV in postoperative weaning warrants further study. (4) Some data in the literature suggest that some subsets of patients with CAL may benefit from chronic intermittent NPV therapy. However, criteria for identifying these patients have not been established. (5) Some investigators have recently demonstrated that PPV delivered via the nares can elicit VMR. Because this technique provides us with the opportunity to elicit VMR by a method other than NPV, nasal PPV provides us with a method to directly validate our presumption that improvements in COPD patients are related to VMR per se.
S Levine; S Levy; D Henson
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Publication Detail:
Type:  Historical Article; Journal Article; Review    
Journal Detail:
Title:  Critical care clinics     Volume:  6     ISSN:  0749-0704     ISO Abbreviation:  Crit Care Clin     Publication Date:  1990 Jul 
Date Detail:
Created Date:  1990-09-10     Completed Date:  1990-09-10     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8507720     Medline TA:  Crit Care Clin     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  505-31     Citation Subset:  IM; Q    
Medical College of Pennsylvania, Philadelphia.
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MeSH Terms
History, 20th Century
Infant, Newborn
Lung Diseases, Obstructive / therapy
Respiration, Artificial / methods*
Respiratory Distress Syndrome, Newborn / therapy
Ventilators, Negative-Pressure* / history,  utilization

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