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Published in: Critical Care 5/2005

01-10-2005 | Review

Clinical review: Respiratory mechanics in spontaneous and assisted ventilation

Authors: Daniel C Grinnan, Jonathon Dean Truwit

Published in: Critical Care | Issue 5/2005

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Abstract

Pulmonary disease changes the physiology of the lungs, which manifests as changes in respiratory mechanics. Therefore, measurement of respiratory mechanics allows a clinician to monitor closely the course of pulmonary disease. Here we review the principles of respiratory mechanics and their clinical applications. These principles include compliance, elastance, resistance, impedance, flow, and work of breathing. We discuss these principles in normal conditions and in disease states. As the severity of pulmonary disease increases, mechanical ventilation can become necessary. We discuss the use of pressure–volume curves in assisting with poorly compliant lungs while on mechanical ventilation. In addition, we discuss physiologic parameters that assist with ventilator weaning as the disease process abates.
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Metadata
Title
Clinical review: Respiratory mechanics in spontaneous and assisted ventilation
Authors
Daniel C Grinnan
Jonathon Dean Truwit
Publication date
01-10-2005
Publisher
BioMed Central
Published in
Critical Care / Issue 5/2005
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc3516

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