TY - JOUR T1 - Should Intermittent Mandatory Ventilation Be Abolished? JF - Respiratory Care SP - 854 LP - 866 DO - 10.4187/respcare.04887 VL - 61 IS - 6 AU - Robert M Kacmarek AU - Richard D Branson Y1 - 2016/06/01 UR - http://rc.rcjournal.com/content/61/6/854.abstract N2 - 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. ER -