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Research Article

What Is the Evidence Base for the Newer Ventilation Modes?

Richard D Branson and Jay A Johannigman
Respiratory Care July 2004, 49 (7) 742-760;
Richard D Branson
Division of Trauma and Critical Care, Department of Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio
MSc RRT FAARC
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  • For correspondence: [email protected]
Jay A Johannigman
Division of Trauma and Critical Care, Department of Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio
MD Col USAFR
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Abstract

New ventilation modes are introduced as answers to current clinical conundrums but also as marketing tools. Rarely is a mode introduced with sound evidence from bench, animal, and patient testing. The industry cannot support the extensive testing required to demonstrate the superiority of a new mode or technique. Instead, clinicians often rely on their own experience and the results of small observational trials that show positive effects on surrogate variables such as oxygenation and work of breathing or less tangible variables such as patient comfort. This report reviews the newer ventilation modes and attempts to find the evidence among the claims and confusion.

  • mechanical ventilation
  • work of breathing
  • evidence-based medicine

Footnotes

  • Correspondence: Richard D Branson MSc RRT FAARC, Department of Surgery, University of Cincinnati, 231 Albert Sabin Way, Room 2457, Cincinnati, Cincinnnati OH 45267-0558. E-mail: richard.branson{at}uc.edu.
  • Copyright © 2004 by Daedalus Enterprises Inc.
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Respiratory Care: 49 (7)
Respiratory Care
Vol. 49, Issue 7
1 Jul 2004
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What Is the Evidence Base for the Newer Ventilation Modes?
Richard D Branson, Jay A Johannigman
Respiratory Care Jul 2004, 49 (7) 742-760;

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What Is the Evidence Base for the Newer Ventilation Modes?
Richard D Branson, Jay A Johannigman
Respiratory Care Jul 2004, 49 (7) 742-760;
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  • mechanical ventilation
  • work of breathing
  • evidence-based medicine

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