Adjuncts to mechanical ventilation.
Adjunctive ventilatory strategies have been developed to improve oxygenation and carbon dioxide (CO2) removal during mechanical ventilation of critically ill patients. These techniques allow clinicians to attain their clinical goals at lower levels of ventilatory support. In this article, the authors discuss extracorporeal CO2 removal, venovenous intravena caval oxygenator, and tracheal gas insufflation as adjuncts to CO2 removal and nitric oxide, surfactant replacement therapy, perfluorocarbon-associated gas exchange, and prone positioning as adjuncts to oxygenation.
Nahum
A
A
Department of Pulmonary and Critical Care Medicine, St. Paul-Ramsey Medical Center, Minnesota, USA.
Shapiro
R
R
D000818:Animals; D005112:Extracorporeal Circulation; D005466:Fluorocarbons / Q000627:therapeutic use; D006801:Humans; D007327:Insufflation; D016684:Prone Position; D011659:Pulmonary Gas Exchange; D011663:Pulmonary Surfactants / Q000627:therapeutic use; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000503:physiopathology / Q000628:therapy*
D005466:Fluorocarbons; D011663:Pulmonary Surfactants