Newer nonconventional modes of mechanical ventilation

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

The conventional modes of ventilation suffer many limitations. Although they are popularly used and are well-understood, often they fail to match the patient-based requirements. Over the years, many small modifications in ventilators have been incorporated to improve patient outcome. The ventilators of newer generation respond to patient's demands by additional feedback systems. In this review, we discuss the popular newer modes of ventilation that have been accepted in to clinical practice. Various intensive care units over the world have found these modes to improve patient ventilator synchrony, decrease ventilator days and improve patient safety. The various modes discusses in this review are: Dual control modes (volume assured pressure support, volume support), Adaptive support ventilation, proportional assist ventilation, mandatory minute ventilation, Bi-level airway pressure release ventilation, (BiPAP), neurally adjusted ventilatory assist and NeoGanesh. Their working principles with their advantages and clinical limitations are discussed in brief.

Original languageEnglish
Pages (from-to)222-227
Number of pages6
JournalJournal of Emergencies, Trauma and Shock
Volume7
Issue number3
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Keywords

  • Adaptive support ventilation
  • NeoGanesh
  • airway pressure release ventilation
  • dual control modes
  • mandatory minute ventilation
  • neurally adjusted ventilatory assist
  • newer modes of ventilation
  • proportional assist ventilation
  • volume support
  • volume-assured pressure support

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