| Technological development in mechanical ventilation. | |
| | |
MedLine Citation:
|
PMID: 19956072 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE OF REVIEW: Innovative modes of mechanical ventilation, mainly based on complex closed loop technologies, have been recently developed and are now available for clinical use. RECENT FINDINGS: Proportional assist ventilation with load-adjustable gain factors and neurally adjusted ventilatory assist are innovative modes of mechanical ventilation delivering a level of assistance proportional to the patient's effort, thus improving patient-ventilator synchrony and potentially representing a real clinical advantage. Adaptive support ventilation is a ventilatory mode delivering assisted (pressure support ventilation-like) or controlled breathing cycles (pressure-controlled-like), related to a minute ventilation target set by the clinician and on automated measurements of the patient's respiratory mechanics. Noisy pressure support ventilation, finally, is a recently described experimental evolution of pressure support, with some improvement potentials, but no clinical application till now. SUMMARY: The recently reported results with proportional assist ventilation with load-adjustable gain factors, neurally adjusted ventilatory assist, and adaptive support ventilation are, till now, mainly based on preliminary physiologic and clinical studies; although they seem to be promising, suggesting that closed loop-based modes could represent a real innovation in the field of mechanical ventilation, further clinical evaluation is needed before their widespread diffusion into clinical practice. |
| | |
Authors:
|
Giorgio Conti; Roberta Costa |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Current opinion in critical care Volume: 16 ISSN: 1531-7072 ISO Abbreviation: Curr Opin Crit Care Publication Date: 2010 Feb |
Date Detail:
|
Created Date: 2009-12-29 Completed Date: 2010-03-25 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9504454 Medline TA: Curr Opin Crit Care Country: United States |
Other Details:
|
Languages: eng Pagination: 26-33 Citation Subset: IM |
Affiliation:
|
Department of Intensive Care and Anesthesia, Catholic University of Rome, Rome, Italy. g.conti@rm.unicatt.it |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Diffusion of Innovation* Humans Italy Respiration, Artificial / instrumentation*, methods* Respiratory Insufficiency / therapy Therapy, Computer-Assisted |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Mechanisms of bacterial virulence in pulmonary infections.
Next Document: Novel biological insights emerging from genetic studies of type 2 diabetes and related metabolic tra...