Abstract
Certain groups of mechanically ventilated patients with acute respiratory failure are difficult to wean from prolonged ventilation despite advanced respiratory support techniques. The common modes for providing support during weaning are intermittent mandatory ventilation (IMV), and spontaneous ventilatory trial (SVT) techniques; such as continuous positive airway pressure (CPAP) and T-piece. Weaning is often initiated with IMV, and a series of SVTs are introduced as the patient tolerates decreasing rates of IMV. However, there is some concern that this strategy of weaning may not be optimal for patient comfort, and muscle reconditioning [1].
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
N. R. McIntyre, Respiratory function during pressure support ventilation, Chest. 5: 677–683 (1989).
L. Brochard, A. Harf, H. Lorino, and F. Lemaire, Inspiratory pressure support prevents diaphragmatic fatigue during weaning from mechanical ventilation, Am. Rev. Respir. Dis. 139: 513–521 (1989).
F. Fiastro, M. Habib, and S. Quan, Pressure support compensation for inspiratory work due to endotracheal tubes and demand continuous positive airway pressure, Chest. 93: 499–505 (1988).
J. P. Viale, G. J. Annat, Y. M. Bouffart et al, Oxygen cost of breathing in postoperative patients: pressure support ventilation vs positive airway pressure. Chest. 93: 506–509 (1988).
J. M. Hurst, R. D. Branson, K. D. Davis, and R. R. Barette, Cardiopulmonary effects of pressure support ventilation. Arch. Surg. 124: 1067–170 (1989).
L. Brochard, F. Pluskwa, and F. Lemaire, Improved efficacy of spontaneous breathing with inspiratory pressure support, Am. Rev. Respir. Dis. 136: 411–415 (1987).
R. Kanak, P. J. Fahey, and C. Vanderwarf, Oxygen cost of breathing: changes dependent upon mode of mechanical ventilation, Chest. 87: 126–127 (1985).
P. J. Fahey, C. Vanderwarf, and A. David, Comparison of oxygen cost of breathing during weaning with continuous positive airway pressure vs pressure support ventilation, Am. Rev. Respir. Dis. 131: A130 (1985).
O. Prakash, and S. Meij, Cardiopulmonary response to inspiratory pressure support during spontaneous ventilation versus conventional ventilation, Chest. 88: 403–408 (1985).
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1992 Springer Science+Business Media New York
About this chapter
Cite this chapter
Esen, F. et al. (1992). Comparison of Pressure Support Ventilation (PSV) and Intermittent Mandatory Ventilation (IMV) during Weaning in Patients with Acute Respiratory Failure. In: Erdmann, W., Bruley, D.F. (eds) Oxygen Transport to Tissue XIV. Advances in Experimental Medicine and Biology, vol 317. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3428-0_41
Download citation
DOI: https://doi.org/10.1007/978-1-4615-3428-0_41
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-6516-7
Online ISBN: 978-1-4615-3428-0
eBook Packages: Springer Book Archive