[Long-term use of asynchronous independent lung ventilation: effects on gas exchange and hemodynamics].
In three patients with respiratory insufficiency where conventional respiratory methods failed, PEEP, rate of breathing, and total volume were adjusted independently for each lung up to a period of 13 days, using two respirators and a double-lumen tube. In all patients a marked increase in PaO2 was achieved without any noticeable detrimental haemodynamic effects. We conclude that asynchronous independent lung ventilators can be a safe and useful respiratory method in carefully selected patients suffering from predominantly unilateral pulmonary disease in whom conventional respiration methods have failed; that synchronisation of the respiratory circuits is not necessary; and that AILV compared to SILV offers the advantage of greater flexibility and reduced complexity.
Krankenhaus Grosshansdorf, Zentrum für Pneumologie und Thoraxchirurgie.
R
R
Bonnet
D
D
Wilms
D000328:Adult; D006801:Humans; D008170:Lung Compliance / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D011175:Positive-Pressure Respiration / Q000379:methods*; D011659:Pulmonary Gas Exchange / Q000502:physiology*; D011669:Pulmonary Wedge Pressure / Q000502:physiology*; D012131:Respiratory Insufficiency / Q000628:therapy*
D010100:Oxygen
Langzeitanwendung der asynchronen seitendifferenten Beatmung: Auswirkungen auf Gasaustausch und Hämodynamik.