title: Ventilatory Management of the Noninjured Lung.
abstract: This article reviews aspects of mechanical ventilation in patients without lung injury, patients in the perioperative period, and those with neurologic injury or disease including spinal cord injury. Specific emphasis is placed on ventilator strategies, including timing and indications for tracheostomy. Lung protective ventilation, using low tidal volumes and modest levels of positive end-expiratory pressure, should be the default consideration in all patients requiring mechanical ventilatory support. The exception may be the patient with high cervical spinal cord injuries who requires mechanical ventilatory support. There is no consensus on the timing of tracheostomy in patients with neurologic diseases.
authors.affiliation: Section on Critical Care, Department of Anesthesiology, Wake Forest Baptist Health, Medical Center Boulevard, Winston-Salem, NC 27157-1009, USA. Electronic address: dbowton@wakehealth.edu.
authors.forename: David L
authors.initials: DL
authors.lastname: Bowton
authors.affiliation: Departments of Pediatrics and Surgery, Louisiana State University Health - Shreveport, 1501 Kings Highway, Shreveport, LA 71130, USA.
authors.forename: Louis Keith
authors.initials: LK
authors.lastname: Scott
mesh_terms: D006801:Humans; D008168:Lung / Q000503:physiopathology*; D055370:Lung Injury / Q000628:therapy*; D011175:Positive-Pressure Respiration; D012121:Respiration, Artificial / Q000379:methods*; D013990:Tidal Volume / Q000502:physiology*
keywords: Cervical spine injury and mechanical ventilation; Lung injury; Mechanical ventilation; Neurologic injury; Tidal volume; Timing of tracheostomy