| Pressure control inverse ratio ventilation as a method to reduce peak inspiratory pressure and provide adequate ventilation and oxygenation. | |
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MedLine Citation:
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PMID: 2495904 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Nineteen patients with ARDS or pneumonia who were ventilated with PcIRV on the Siemens-Elema Servo 900 C were retrospectively reviewed. The PcIRV reduced peak airway pressure, PEEP, increased Paw, and improved ventilation and oxygenation in these patients. When these patients were compared with themselves on prior conventional IPPV, all had a decrease in PIP, an increase in Paw and most had a decrease in VE, with no change in PaCO2 and an increase in PaO2. The increase in Paw may have contributed to this improved arterial oxygenation. High levels of PIP and PEEP during IPPV have been identified as risk factors in the development of barotrauma and residual parenchymal pulmonary damage. We propose that PcIRV allows for adequate ventilation and oxygenation with decreases in PIP, extrinsically added PEEP and inspired O2 concentration. This mode of ventilation may decrease the morbidity associated with IPPV utilizing high PIP and PEEP. |
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Authors:
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D C Lain; R DiBenedetto; S L Morris; A Van Nguyen; R Saulters; D Causey |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Chest Volume: 95 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1989 May |
Date Detail:
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Created Date: 1989-06-05 Completed Date: 1989-06-05 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1081-8 Citation Subset: AIM; IM |
Affiliation:
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Memorial Medical Center, Department of Respiratory Care, Savannah, GA 31403. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Blood Pressure Carbon Dioxide / blood Female Heart Rate Humans Male Middle Aged Oxygen / blood Oxygen Consumption* Pneumonia / therapy* Positive-Pressure Respiration / methods Pressure Respiration* Respiration, Artificial / instrumentation, methods* Respiratory Distress Syndrome, Adult / therapy* |
| Chemical | |
Reg. No./Substance:
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124-38-9/Carbon Dioxide; 7782-44-7/Oxygen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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