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- Robert M Kacmarek and Richard D Branson.
- Department of Anesthesiology, Harvard Medical School, and Department of Respiratory Care, Massachusetts General Hospital, Boston, Massachusetts. rkacmarek@partners.org Richard.branson@uc.edu.
- Respir Care. 2016 Jun 1; 61 (6): 854-66.
AbstractIntermittent 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.Copyright © 2016 by Daedalus Enterprises.
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