eMedicine Specialties > Pulmonology > Mechanical Ventilation

Ventilation, Mechanical: Multimedia

Author: Ryland P Byrd Jr, MD, Professor, Department of Internal Medicine, Division of Pulmonary Medicine and Critical Care Medicine, James H Quillen College of Medicine, East Tennessee State University; Chief of Pulmonary Medicine, Medical Director of Respiratory Therapy, Intensive Care Unit, Program Director of Pulmonary Diseases and Critical Care Medicine Fellowship, James H Quillen Veterans Affairs Medical Center
Coauthor(s): Semaan Georges Kosseifi, MD, Fellow in Pulmonary/Critical Care Medicine, East Tennessee State University; Thomas M Roy, MD, Chief, Division of Pulmonary Diseases and Critical Care Medicine, Quillen Mountain Home Veterans Affairs Medical Center; Professor, Department of Internal Medicine, Division of Pulmonary Medicine, East Tennessee State University
Contributor Information and Disclosures

Updated: Apr 17, 2009

Multimedia

An example of the Drinker and Shaw negative-press...Media file 1: An example of the Drinker and Shaw negative-pressure ventilator (iron lung).
An example of the Drinker and Shaw negative-press...

An example of the Drinker and Shaw negative-pressure ventilator (iron lung).

The pressure, volume, and flow to time waveforms ...Media file 2: The pressure, volume, and flow to time waveforms for assist-control ventilation.
The pressure, volume, and flow to time waveforms ...

The pressure, volume, and flow to time waveforms for assist-control ventilation.

The pressure, volume, and flow to time waveforms ...Media file 3: The pressure, volume, and flow to time waveforms for controlled ventilation.
The pressure, volume, and flow to time waveforms ...

The pressure, volume, and flow to time waveforms for controlled ventilation.

The components of mechanical ventilation inflatio...Media file 4: The components of mechanical ventilation inflation pressures. Paw is airway pressure, PIP is peak airway pressure, Pplat is plateau pressure.
The components of mechanical ventilation inflatio...

The components of mechanical ventilation inflation pressures. Paw is airway pressure, PIP is peak airway pressure, Pplat is plateau pressure.

The effects of increased airway resistance (A) an...Media file 5: The effects of increased airway resistance (A) and decreased respiratory system compliance on the pressure-time waveform.
The effects of increased airway resistance (A) an...

The effects of increased airway resistance (A) and decreased respiratory system compliance on the pressure-time waveform.

Determination of the lower inflection point to es...Media file 6: Determination of the lower inflection point to estimate the best (optimal) positive end-expiratory pressure (PEEP) from the pressure-volume hysteresis curve.
Determination of the lower inflection point to es...

Determination of the lower inflection point to estimate the best (optimal) positive end-expiratory pressure (PEEP) from the pressure-volume hysteresis curve.

The effect of positive end-expiratory pressure (P...Media file 7: The effect of positive end-expiratory pressure (PEEP) on the pressure-time inflation curve.
The effect of positive end-expiratory pressure (P...

The effect of positive end-expiratory pressure (PEEP) on the pressure-time inflation curve.

The pressure, volume, and flow to time waveforms ...Media file 8: The pressure, volume, and flow to time waveforms for synchronized intermittent mandatory ventilation (SIMV).
The pressure, volume, and flow to time waveforms ...

The pressure, volume, and flow to time waveforms for synchronized intermittent mandatory ventilation (SIMV).

The pressure, volume, and flow to time waveforms ...Media file 9: The pressure, volume, and flow to time waveforms for synchronized intermittent mandatory ventilation (SIMV) with pressure-support ventilation.
The pressure, volume, and flow to time waveforms ...

The pressure, volume, and flow to time waveforms for synchronized intermittent mandatory ventilation (SIMV) with pressure-support ventilation.

The flow to time waveform demonstrating auto<FONT...Media file 10: The flow to time waveform demonstrating autopositive end-expiratory pressure (auto-PEEP).
The flow to time waveform demonstrating auto<FONT...

The flow to time waveform demonstrating autopositive end-expiratory pressure (auto-PEEP).

The pressure, volume, and flow to time waveforms ...Media file 11: The pressure, volume, and flow to time waveforms for pressure-regulated volume-controlled ventilation.
The pressure, volume, and flow to time waveforms ...

The pressure, volume, and flow to time waveforms for pressure-regulated volume-controlled ventilation.

The pressure, volume, and flow to time waveforms ...Media file 12: The pressure, volume, and flow to time waveforms for proportional-assist ventilation.
The pressure, volume, and flow to time waveforms ...

The pressure, volume, and flow to time waveforms for proportional-assist ventilation.

The pressure, volume, and flow to time waveforms ...Media file 13: The pressure, volume, and flow to time waveforms for airway pressure–release ventilation.
The pressure, volume, and flow to time waveforms ...

The pressure, volume, and flow to time waveforms for airway pressure–release ventilation.

More on Ventilation, Mechanical

References

References

  1. Solsona JF, Diaz Y, Vazquez A, Gracia MP, Zapatero A, Marrugat J. A pilot study of a new test to predict extubation failure. Crit Care. Apr 14 2009;13(2):R56. [Medline].

  2. Amato MB, Barbas CS, Medeiros DM, Magaldi RB, Schettino GP, Lorenzi-Filho G, et al. Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med. Feb 5 1998;338(6):347-54. [Medline].

  3. Rossi A, Polese G, Brandi G, Conti G. Intrinsic positive end-expiratory pressure (PEEPi). Intensive Care Med. Jun 1995;21(6):522-36. [Medline].

  4. Ambrosino N, Rossi A. Proportional assist ventilation (PAV): a significant advance or a futile struggle between logic and practice?. Thorax. Mar 2002;57(3):272-6. [Medline].

  5. Apostolakos MJ, Levy PC, Papadakos PJ. New Modes of Mechanical Ventilation. Clin Pulm Med. 1995;2:121-28.

  6. Branson RD, Johannigman JA. The role of ventilator graphics when setting dual-control modes. Respir Care. Feb 2005;50(2):187-201. [Medline].

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  9. Esteban A, Anzueto A, Alia I, Gordo F, Apezteguia C, Palizas F, et al. How is mechanical ventilation employed in the intensive care unit? An international utilization review. Am J Respir Crit Care Med. May 2000;161(5):1450-8. [Medline].

  10. Grum CM, Morganroth ML. Initiating Mechanical Ventilation. J Intensive Care Med. 1988;3:6-20.

  11. Hess D. Ventilator modes used in weaning. Chest. Dec 2001;120(6 Suppl):474S-6S. [Medline].

  12. Hess D, Branson RD. Ventilators and weaning modes. Resp Care Clin N Am. 2000;6:407-435.

  13. Hess DR. Mechanical ventilation strategies: what's new and what's worth keeping?. Respir Care. Sep 2002;47(9):1007-17. [Medline].

  14. MacIntyre NR. New modes of mechanical ventilation. Clin Chest Med. Sep 1996;17(3):411-21. [Medline].

  15. Mutlu GM, Mutlu EA, Factor P. GI complications in patients receiving mechanical ventilation. Chest. Apr 2001;119(4):1222-41. [Medline].

  16. Parker JC, Hernandez LA, Peevy KJ. Mechanisms of ventilator-induced lung injury. Crit Care Med. Jan 1993;21(1):131-43. [Medline].

  17. Plotz FB, Slutsky AS, van Vught AJ, Heijnen CJ. Ventilator-induced lung injury and multiple system organ failure: a critical review of facts and hypotheses. Intensive Care Med. Oct 2004;30(10):1865-72. [Medline].

  18. Riley B. Strategies for ventilatory support. Br Med Bull. 1999;55(4):806-20. [Medline].

  19. Schuster DP. A physiologic approach to initiating, maintaining, and withdrawing mechanical ventilatory support during acute respiratory failure. Am J Med. Mar 1990;88(3):268-78. [Medline].

  20. Singh JM, Stewart TE. High-frequency mechanical ventilation principles and practices in the era of lung-protective ventilation strategies. Respir Care Clin N Am. Jun 2002;8(2):247-60. [Medline].

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Further Reading

Keywords

mechanical ventilation, conventional respiratory support, positive pressure ventilation, positive-pressure ventilation, negative-pressure ventilation, negative pressure ventilation, iron lung, cuirass, shell unit, acute lung injury, chronic obstructive lung disease, apnea, respiratory arrest, neuromuscular disease, chronic obstructive pulmonary disease, COPD, acute respiratory distress syndrome, ARDS, permissive hypercapnia, iron lung

Contributor Information and Disclosures

Author

Ryland P Byrd Jr, MD, Professor, Department of Internal Medicine, Division of Pulmonary Medicine and Critical Care Medicine, James H Quillen College of Medicine, East Tennessee State University; Chief of Pulmonary Medicine, Medical Director of Respiratory Therapy, Intensive Care Unit, Program Director of Pulmonary Diseases and Critical Care Medicine Fellowship, James H Quillen Veterans Affairs Medical Center
Ryland P Byrd Jr, MD is a member of the following medical societies: American College of Chest Physicians, American Thoracic Society, and Southern Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Semaan Georges Kosseifi, MD, Fellow in Pulmonary/Critical Care Medicine, East Tennessee State University
Semaan Georges Kosseifi, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, and American Thoracic Society
Disclosure: Nothing to disclose.

Thomas M Roy, MD, Chief, Division of Pulmonary Diseases and Critical Care Medicine, Quillen Mountain Home Veterans Affairs Medical Center; Professor, Department of Internal Medicine, Division of Pulmonary Medicine, East Tennessee State University
Thomas M Roy, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, American Medical Association, American Thoracic Society, Southern Medical Association, and Wilderness Medical Society
Disclosure: Nothing to disclose.

Medical Editor

Oleh Wasyl Hnatiuk, MD, Program Director, National Capital Consortium, Pulmonary and Critical Care, Walter Reed Army Medical Center; Associate Professor, Department of Medicine, Uniformed Services University of Health Sciences
Oleh Wasyl Hnatiuk, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, and American Thoracic Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Gregg T Anders, DO, Medical Director, Great Plains Regional Medical Command , Brook Army Medical Center; Clinical Associate Professor, Department of Internal Medicine, Division of Pulmonary Disease, University of Texas Health Science Center at San Antonio
Gregg T Anders, DO is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, and American Thoracic Society
Disclosure: Nothing to disclose.

CME Editor

Timothy D Rice, MD, Associate Professor, Departments of Internal Medicine and Pediatrics and Adolescent Medicine, Saint Louis University School of Medicine
Timothy D Rice, MD is a member of the following medical societies: American Academy of Pediatrics and American College of Physicians
Disclosure: Nothing to disclose.

Chief Editor

Zab Mosenifar, MD, Director, Division of Pulmonary and Critical Care Medicine, Director, Women's Guild Pulmonary Disease Institute, Executive Vice Chair, Department of Medicine, Cedars Sinai Medical Center; Professor of Medicine, David Geffen School of Medicine at UCLA
Zab Mosenifar, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, American Federation for Medical Research, and American Thoracic Society
Disclosure: Nothing to disclose.

 
 
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