RT Journal Article
SR Electronic
T1 Should Intermittent Mandatory Ventilation Be Abolished?
JF Respiratory Care
FD American Association for Respiratory Care
SP 854
OP 866
DO 10.4187/respcare.04887
VO 61
IS 6
A1 Kacmarek, Robert M
A1 Branson, Richard D
YR 2016
UL http://rc.rcjournal.com/content/61/6/854.abstract
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.