Mechanical ventilation of the patient with chronic obstructive pulmonary disease.
Mechanical ventilation of the patient with COPD is a balance between avoiding overdistension, auto-PEEP, providing adequate gas exchange, and allowing patient-ventilator synchrony. Figure 13 shows an approach that the authors have found helpful to achieve these goals.
Hess
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Harvard Medical School, Boston, Massachusetts, USA.
Medoff
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D005260:Female; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000628:therapy*; D008297:Male; D008991:Monitoring, Physiologic; D011379:Prognosis; D011659:Pulmonary Gas Exchange; D012121:Respiration, Artificial / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome; D015300:Ventilator Weaning / Q000379:methods; D012122:Ventilators, Mechanical