Mechanical ventilation: past lessons and the near future

نویسنده

  • John J Marini
چکیده

The ability to compensate for life-threatening failure of respiratory function is perhaps the signature technology of intensive care medicine. Unchanging needs for providing effective life-support with minimized risk and optimized comfort have been, are now, and will be the principal objectives of providing mechanical ventilation. Important lessons acquired over nearly half-a-century of ICU care have brought us closer to meeting them, as technological advances in instrumentation now effectively put this hard-won knowledge into action. Rising demand in the face of economic constraints is likely to drive future innovations focused on reducing the need for user input, automating multi-element protocols, and carefully monitoring the patient for progress and complications.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Rescue therapeutic strategy combining ultra-protective mechanical ventilation with extracorporeal CO2 removal membrane in near-fatal asthma with severe pulmonary barotraumas

RATIONALE Mechanical ventilation of severe acute asthma is still considered a challenging issue, mainly because of the gas trapping phenomenon with the potential for life-threatening barotraumatic pulmonary complications. PATIENT CONCERNS Herein, we describe 2 consecutive cases of near-fatal asthma for whom the recommended protective mechanical ventilation approach using low tidal volume of 6...

متن کامل

Effect of opening diffuser and return vent location on air quality, thermal comfort and energy saving in desk displacement ventilation (DDV) system

Many investigations have recently been performed on return vent height and indicate that having 1.3 m distance from the floor is the optimized height for it. In this article, the effect of distance between opening diffuser and return vent on air quality, thermal comfort and energy saving was investigated. According to the results, by increasing the distance between opening and return vent up to...

متن کامل

Mizaj past, present and future

Temperament (Mizaj), as an individual factor, has great importance in traditional medicine and its use in diagnosis and treatment of diseases, as well as the individual lifestyle is very common. Since medicine moves toward Personalized Medicine, the root of individual differences will find its position in different aspects of medicine in early future. In traditional medicine, temperament is ...

متن کامل

The future of mechanical ventilation: lessons from the present and the past

The adverse effects of mechanical ventilation in acute respiratory distress syndrome (ARDS) arise from two main causes: unphysiological increases of transpulmonary pressure and unphysiological increases/decreases of pleural pressure during positive or negative pressure ventilation. The transpulmonary pressure-related side effects primarily account for ventilator-induced lung injury (VILI) while...

متن کامل

Challenges of Iranian Environmental Health during the COVID-19 Epidemic: Lessons for the Future

Emerging and communicable infectious diseases are one of the major public health challenges that adherence to the principles of primary health care can prevent the rising of morbidity and mortality in communities. This study investigates the environmental health challenges of Iran in Covid-19 epidemic as an emerging infectious disease. Insufficient readiness of the health system, delays in qua...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 17  شماره 

صفحات  -

تاریخ انتشار 2013