Physiological aspects of intermittent positive pressure ventilation

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

The mechanical properties of the lungs and chest wall dictate the relationship between tidal volume, flow rate and airway pressure developed during intermittent positive pressure ventilation (IPPV). The increase in intrathoracic pressures associated with IPPV has consequences for the intrapulmonary distribution of ventilation and perfusion (hence gas exchange), cardiac output and regional blood flows. Barotrauma is a potential hazard. IPPV also affects the homeostatic mechanisms that keep the air spaces dry. Strategies to maximise the benefits and minimise the side effects of IPPV include positive end-expiratory pressure, intermittent mandatory ventilation, differential lung ventilation and high frequency ventilation. Understanding the physiological effects of IPPV and associated therapies allows a rational approach to the adjustment of ventilation against pulmonary, cardiovascular and systemic responses so as to optimise gas exchange and peripheral oxygen delivery.

Original languageEnglish
Pages (from-to)226-35
Number of pages10
JournalAnaesthesia and Intensive Care
Volume14
Issue number3
DOIs
Publication statusPublished - Aug 1986
Externally publishedYes

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Intermittent Positive-Pressure Ventilation
Ventilation
Gases
Barotrauma
High-Frequency Ventilation
Pressure
Pulmonary Ventilation
Lung
Positive-Pressure Respiration
Tidal Volume
Regional Blood Flow
Thoracic Wall
Cardiac Output
Perfusion
Air
Oxygen

Cite this

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abstract = "The mechanical properties of the lungs and chest wall dictate the relationship between tidal volume, flow rate and airway pressure developed during intermittent positive pressure ventilation (IPPV). The increase in intrathoracic pressures associated with IPPV has consequences for the intrapulmonary distribution of ventilation and perfusion (hence gas exchange), cardiac output and regional blood flows. Barotrauma is a potential hazard. IPPV also affects the homeostatic mechanisms that keep the air spaces dry. Strategies to maximise the benefits and minimise the side effects of IPPV include positive end-expiratory pressure, intermittent mandatory ventilation, differential lung ventilation and high frequency ventilation. Understanding the physiological effects of IPPV and associated therapies allows a rational approach to the adjustment of ventilation against pulmonary, cardiovascular and systemic responses so as to optimise gas exchange and peripheral oxygen delivery.",
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Physiological aspects of intermittent positive pressure ventilation. / Hillman, D R.

In: Anaesthesia and Intensive Care, Vol. 14, No. 3, 08.1986, p. 226-35.

Research output: Contribution to journalArticle

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