PT  - JOURNAL ARTICLE
AU  - Robert M Kacmarek
AU  - Richard D Branson
TI  - Should Intermittent Mandatory Ventilation Be Abolished?
AID  - 10.4187/respcare.04887
DP  - 2016 Jun 01
TA  - Respiratory Care
PG  - 854--866
VI  - 61
IP  - 6
4099  - http://rc.rcjournal.com/content/61/6/854.short
4100  - http://rc.rcjournal.com/content/61/6/854.full
AB  - Intermittent mandatory ventilation (IMV) was introduced nearly 50 years ago. Despite the initial fanfare and early adoption by many, the role of IMV continues to be questioned. The use of small tidal volumes complicates the application of IMV, and issues with work of breathing, weaning and lack of clear advantages have many calling for a moratorium on its use. Spontaneous breathing, however, has a number of salutatory effects on gas exchange, the distribution of ventilation, and hemodynamics. These issues will be explored in light of a growing body of evidence.