Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Critical Care
Erschienen in: Critical Care 1/2013

Open Access 01.02.2013 | Review

Mechanical ventilation: past lessons and the near future

verfasst von: John J Marini

Erschienen in: Critical Care | Sonderheft 1/2013

Einloggen, um Zugang zu erhalten

Abstract

The ability to compensate for life-threatening failure of respiratory function is perhaps the signature technology of intensive care medicine. Unchanging needs for providing effective life-support with minimized risk and optimized comfort have been, are now, and will be the principal objectives of providing mechanical ventilation. Important lessons acquired over nearly half-a-century of ICU care have brought us closer to meeting them, as technological advances in instrumentation now effectively put this hard-won knowledge into action. Rising demand in the face of economic constraints is likely to drive future innovations focused on reducing the need for user input, automating multi-element protocols, and carefully monitoring the patient for progress and complications.
Literatur
1.
Weil MH, Tang W: From intensive care to critical care medicine: a historical perspective. Am J Respir Crit Care Med 2011, 183: 1451-1453. 10.1164/rccm.201008-1341OECrossRefPubMed
2.
Drinker P, McKhann CF: The use of a new apparatus for the prolonged administration of artificial respiration. JAMA 1929, 92: 1658-1660. 10.1001/jama.1929.02700460014005CrossRef
3.
Barach AL, Eckman M, Ginsburg E, et al.: Studies on positive pressure respiration. J Aviat Med 1946, 17: 290-356.PubMed
4.
Colice GL: Historical perspective on the development of mechanical ventilation. In Principles and Practice of Mechanical Ventilation. Third edition. Edited by: Tobin MJ. New York: McGraw Hill; 2013:3-41.
5.
Housley E, Louzada N, Becklake MR: To sigh or not to sigh. Am Rev Respir Dis 1970, 101: 611-614.PubMed
6.
Bendixen HH, Hedley-Whyte J, Laver MB: Impaired oxygenation in surgical patients during general anesthesia with controlled ventilation. A concept of atelectasis. N Engl J Med 1963, 269: 991-996. 10.1056/NEJM196311072691901CrossRefPubMed
7.
Marini JJ, Kirk W, Culver BH: Flow resistance of the exhalation valves and PEEP devices used in mechanical ventilation. Am Rev Respir Dis 1985, 131: 850-854.PubMed
8.
Ashbaugh DG, Bigelow DB, Petty TL, Levine BE: Acute respiratory distress in adults. Lancet 1967, 2: 319-323.CrossRefPubMed
9.
Ashbaugh DG, Petty TL, Bigelow DB, Harris TM: Continuous positive-pressure breathing (CPPB) in adult respiratory distress syndrome. J Thorac Cardiovasc Surg 1969, 57: 31-41.PubMed
10.
Zapol WM, Snider MT, Hill JD, Fallat RJ, Bartlett RH, Edmunds LH, Morris AH, Peirce EC 2nd, Thomas AN, Proctor HJ, Drinker PA, Pratt PC, Bagniewski A, Miller RG Jr: Extracorporeal membrane oxygenation in severe acute respiratory failure. A randomized prospective study. JAMA 1979, 242: 2193-2196. 10.1001/jama.1979.03300200023016CrossRefPubMed
11.
Roussos C, Macklem PT: The respiratory muscles. N Engl J Med 1982, 307: 786-797. 10.1056/NEJM198209233071304CrossRefPubMed
12.
Derenne JP, Macklem PT, Roussos C: The respiratory muscles: mechanics, control, and pathophysiology. Part 2. Am Rev Respir Dis 1978, 118: 373-390.PubMed
13.
Downs JB, Klein EF Jr, Desautels D, Modell JH, Kirby RR: Intermittent mandatory ventilation: a new approach to weaning patients from mechanical ventilators. Chest 1973, 64: 331-335. 10.1378/chest.64.3.331CrossRefPubMed
14.
Gregory GA, Kitterman JA, Phibbs RH, Tooley WH, Hamilton WK: Treatment of the idiopathic respiratory-distress syndrome with continuous positive airway pressure. N Engl J Med 1971, 284: 1333-1340. 10.1056/NEJM197106172842401CrossRefPubMed
15.
Pepe PE, Marini JJ: Occult positive end-expiratory pressure in mechanically ventilated patients with airflow obstruction (the auto-PEEP effect). Am Rev Respir Dis 1982, 126: 166-170.PubMed
16.
Marini JJ, Rodriguez RM, Lamb VJ: The inspiratory workload of patient-initiated mechanical ventilation. Am Rev Respir Dis 1986, 134: 902-909.CrossRefPubMed
17.
Dreyfuss D, Saumon G: Ventilator-induced lung injury: lessons from experimental studies. Am J Respir Crit Care Med 1998, 157: 294-323.CrossRefPubMed
18.
Webb H, Tierney D: Experimental pulmonary edema due to intermittent positivepressure ventilation with high inflation pressures: protection by positive end-expiratory pressure. Am Rev Respir Dis 1974, 110: 556-565.PubMed
19.
Darioli R, Perret C: Mechanical controlled hypoventilation in status asthmaticus. Am Rev Respir Dis 1984, 129: 385-387.PubMed
20.
Hickling KG, Henderson SJ, Jackson R: Low mortality associated with low volume pressure limited ventilation with permissive hypercapnia in severe adultrespiratory distress syndrome. Intensive Care Med 1990, 16: 372-377. 10.1007/BF01735174CrossRefPubMed
21.
Ip T, Mehta S: The role of high-frequency oscillatory ventilation in the treatment of acute respiratory failure in adults. Curr Opin Crit Care 2012, 18: 70-79. 10.1097/MCC.0b013e32834f1805CrossRefPubMed
22.
Rossaint R, Falke KJ, López F, Slama K, Pison U, Zapol WM: Inhaled nitric oxide for the adult respiratory distress syndrome. N Engl J Med 1993, 328: 399-405. 10.1056/NEJM199302113280605CrossRefPubMed
23.
Cole AG, Weller SF, Sykes MK: Inverse ratio ventilation compared with PEEP in adult respiratory failure. Intensive Care Med 1984, 10: 227-232.CrossRefPubMed
24.
Acute Respiratory Distress Syndrome Network: Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000, 342: 1301-1308.CrossRef
25.
McIntyre RC Jr, Pulido EJ, Bensard DD, Shames BD, Abraham E: Thirty years of clinical trials in acute respiratory distress syndrome. Crit Care Med 2000, 28: 3314-3331. 10.1097/00003246-200009000-00034CrossRefPubMed
26.
Thille AW, Rodriguez P, Cabello B, Lellouche F, Brochard L: Patient-ventilator asynchrony during assisted mechanical ventilation. Intensive Care Med 2006, 32: 1515-1522. 10.1007/s00134-006-0301-8CrossRefPubMed
27.
Pneumatikos IA, Dragoumanis CK, Bouros DE: Ventilator-associated pneumonia or endotracheal tube-associated pneumonia? An approach to the pathogenesis and preventive strategies emphasizing the importance of endotracheal tube. Anesthesiology 2009, 110: 673-680. 10.1097/ALN.0b013e31819868e0CrossRefPubMed
28.
Nava S, Hill N: Non-invasive ventilation in acute respiratory failure. Lancet 2009, 374: 250-259. 10.1016/S0140-6736(09)60496-7CrossRefPubMed
29.
Marini JJ, Smith TC, Lamb VJ: External work output and force generation during synchronized intermittent mechanical ventilation. Effect of machine assistance on breathing effort. Am Rev Respir Dis 1988, 138: 1169-1179.CrossRefPubMed
30.
Smith TC, Marini JJ: Impact of PEEP on lung mechanics and work of breathing in severe airflow obstruction. The effect of PEEP on auto-PEEP. J Appl Physiol 1988, 65: 1488-1499.PubMed
31.
Marini JJ: Dynamic hyperinflation and auto-positive end-expiratory pressure: lessons learned over 30 years. Am J Respir Crit Care Med 2011, 184: 756-762. 10.1164/rccm.201102-0226PPCrossRefPubMed
32.
Crotti S, Mascheroni D, Caironi P, Pelosi P, Ronzoni G, Mondino M, Marini JJ, Gattinoni L: Recruitment and derecruitment during acute respiratory failure: a clinical study. Am J Respir Crit Care Med 2001, 164: 131-140.CrossRefPubMed
33.
Marini JJ: Unproven clinical evidence in mechanical ventilation. Curr Opin Crit Care 2012, 18: 1-7. 10.1097/MCC.0b013e32834ef425CrossRefPubMed
34.
Phoenix SI, Paravastu S, Columb M, Vincent J-L, Nirmalan M: Does a higher positive end expiratory pressure decrease mortality in acute respiratory distress syndrome? A systematic review and meta-analysis. Anesthesiology 2009, 110: 1098-1105. 10.1097/ALN.0b013e31819fae06CrossRefPubMed
35.
Guerin C: The preventive role of higher PEEP in treating severely hypoxemic ARDS. Minerva Anestesiol 2011, 77: 835-845.PubMed
36.
Sud S, Friedrich JO, Taccone P, Polli F, Adhikari NK, Latini R, Pesenti A, Guérin C, Mancebo J, Curley MA, Fernandez R, Chan MC, Beuret P, Voggenreiter G, Sud M, Tognoni G, Gattinoni L: Prone ventilation reduces mortality in patients with acute respiratory failure and severe hypoxemia: systematic review and meta-analysis. Intensive Care Med 2010, 36: 585-599. 10.1007/s00134-009-1748-1CrossRefPubMed
37.
Tang BM, Craig JC, Eslick GD, Seppelt I, McLean AS: Use of corticosteroids in acute lung injury and acute respiratory distress syndrome: a systematic review and meta-analysis. Crit Care Med 2009, 37: 1594-1603. 10.1097/CCM.0b013e31819fb507CrossRefPubMed
38.
Marik PE, Meduri GU, Rocco PR, Annane D: Glucocorticoid treatment in acute lung injury and acute respiratory distress syndrome. Crit Care Clin 2011, 27: 589-607. 10.1016/j.ccc.2011.05.007CrossRefPubMed
39.
Kacmarek RM, Kallet RH: Respiratory controversies in the critical care setting. Should recruitment maneuvers be used in the management of ALI and ARDS? Respir Care 2007, 52: 622-631. discussion 631-635PubMed
40.
Sieck GC, Mantilla CB: Effect of mechanical ventilation on the diaphragm. N Engl J Med 2008, 358: 1392-1394. 10.1056/NEJMe0801226CrossRefPubMed
41.
Levine S, Nguyen T, Taylor N, Friscia ME, Budak MT, Rothenberg P, Zhu J, Sachdeva R, Sonnad S, Kaiser LR, Rubinstein NA, Powers SK, Shrager JB: Rapid disuse atrophy of diaphragm fibers in mechanically ventilated humans. N Engl J Med 2008, 358: 1327-1335. 10.1056/NEJMoa070447CrossRefPubMed
42.
Gama de Abreu M, Guldner A, Pelosi P: Spontaneous breathing activity in acute lung injury and acute respiratory distress syndrome. Curr Opin Anaesthesiol 2012, 25: 148-155. 10.1097/ACO.0b013e3283504bdeCrossRefPubMed
43.
Putensen C, Theuerkauf N, Zinserling J, Wrigge H, Pelosi P: Meta-analysis: ventilation strategies and outcomes of the acute respiratory distress syndrome and acute lung injury. Ann Intern Med 2009, 151: 566-576.CrossRefPubMed
44.
Marini JJ: Early phase of lung-protective ventilation: a place for paralytics? Crit Care Med 2006, 34: 2851-2853. 10.1097/01.CCM.0000248331.36982.28CrossRefPubMed
45.
Papazian L, Forel JM, Gacouin A, Penot-Ragon C, Perrin G, Loundou A, Jaber S, Arnal JM, Perez D, Seghboyan JM, Constantin JM, Courant P, Lefrant JY, Guérin C, Prat G, Morange S, Roch A, ACURASYS Study Investigators: Neuromuscular blockers in early acute respiratory distress syndrome. N Engl J Med 2010, 363: 1107-1116. 10.1056/NEJMoa1005372CrossRefPubMed
46.
Ely EW, Shintani A, Truman B, Speroff T, Gordon SM, Harrell FE Jr, Inouye SK, Bernard GR, Dittus RS: Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA 2004, 291: 1753-1762. 10.1001/jama.291.14.1753CrossRefPubMed
47.
Gajic O, Frutos-Vivar F, Esteban A, Hubmayr RD, Anzueto A: Ventilator settings as a risk factor for acute respiratory distress syndrome in mechanically ventilatedpatients. Intensive Care Med 2005, 31: 922-926. 10.1007/s00134-005-2625-1CrossRefPubMed
48.
Dreyfuss D, Soler P, Basset G, Saumon G: High inflation pressure pulmonary edema. Respective effects of high airway pressure, high tidal volume, and positive end-expiratory pressure. Am Rev Respir Dis 1988, 137: 1159-1164.CrossRefPubMed
49.
Fujita Y, Maeda Y, Fujino Y, Uchiyama A, Mashimo T, Nishimura M: Effect of peak inspiratory flow on gas exchange, pulmonary mechanics, and lung histology in rabbits with injured lungs. J Anesth 2006, 20: 96-101. 10.1007/s00540-005-0374-5CrossRefPubMed
50.
Maeda Y, Fujino Y, Uchiyama A, Matsuura N, Mashimo T, Nishimura M: Effects of peak inspiratory flow on development of ventilator-induced lung injury in rabbits. Anesthesiology 2004, 101: 722-728. 10.1097/00000542-200409000-00021CrossRefPubMed
51.
Rich PB, Reickert CA, Sawada S, Awad SS, Lynch WR, Johnson KJ, Hirschl RB: Effect of rate and inspiratory flow on ventilator-induced lung injury. J Trauma 2000, 49: 903-911. 10.1097/00005373-200011000-00019CrossRefPubMed
52.
Talmor D, Sarge T, Malhotra A, O'Donnell CR, Ritz R, Lisbon A, Novack V, Loring SH: Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med 2008, 359: 2095-2104. 10.1056/NEJMoa0708638PubMedCentralCrossRefPubMed
53.
Loring SH, O'Donnell CR, Behazin N, Malhotra A, Sarge T, Ritz R, Novack V, Talmor D: Esophageal pressures in acute lung injury: do they represent artifact or useful information about transpulmonary pressure, chest wall mechanics, and lung stress? J Appl Physiol 2010, 108: 515-522. 10.1152/japplphysiol.00835.2009PubMedCentralCrossRefPubMed
54.
Richard JC, Marini JJ: Transpulmonary pressure as a surrogate of plateau pressure for lung protective strategy: not perfect but more physiologic. Intensive Care Med 2012, 38: 339-341. 10.1007/s00134-012-2492-5CrossRefPubMed
55.
Mead J, Takishima T, Leith D: Stress distribution in lungs: a model of pulmonary elasticity. J Appl Physiol 1970, 28: 596-608.PubMed
56.
Marini JJ, Gattinoni L: Propagation prevention: a complementary mechanism for 'lung protective' ventilation in acute respiratory distress syndrome. Crit Care Med 2008, 36: 3252-2358. 10.1097/CCM.0b013e31818f0e68CrossRefPubMed
57.
Schortgen F, Bouadma L, Joly-Guillou ML, Ricard JD, Dreyfuss D, Saumon G: Infectious and inflammatory dissemination are affected by ventilation strategy in rats with unilateral pneumonia. Intensive Care Med 2004, 30: 693-701. 10.1007/s00134-003-2147-7CrossRefPubMed
58.
de Prost N, Roux D, Dreyfuss D, Ricard JD, Le Guludec D, Saumon G: Alveolar edema dispersion and alveolar protein permeability during high volume ventilation: effect of positive end-expiratory pressure. Intensive Care Med 2007, 33: 711-717. 10.1007/s00134-007-0575-5CrossRefPubMed
59.
Robertson OH, Hamburger M: Studies on the pathogenesis of experimental pneumococcus pneumonia in the dog; secondary pulmonary lesions. Their production by intratracheal and intrabronchial injections of fluid pneumonic exudate. J Exp Med 1940, 72: 275-288. 10.1084/jem.72.3.275PubMedCentralCrossRefPubMed
60.
Paneroni M, Clini E, Simonelli C, Bianchi L, Degli Antoni F, Vitacca M: Safety and efficacy of short-term intrapulmonary percussive ventilation in patients with bronchiectasis. Respir Care 2011, 56: 984-988. 10.4187/respcare.01098CrossRefPubMed
61.
Guérin C, Bourdin G, Leray V, Delannoy B, Bayle F, Germain M, Richard JC: Performance of the cough assist insufflation-exsufflation device in the presence of an endotracheal tube or tracheostomy tube: a bench study. Respir Care 2011, 56: 1108-1114. 10.4187/respcare.01121CrossRefPubMed
62.
Fernandez JF, Levine SM, Restrepo MI: Technologic advances in endotracheal tubes for prevention of ventilator-associated pneumonia. Chest 2012, 142: 231-238. 10.1378/chest.11-2420PubMedCentralCrossRefPubMed
63.
Li Bassi G, Saucedo L, Marti JD, Rigol M, Esperatti M, Luque N, Ferrer M, Gabarrus A, Fernandez L, Kolobow T, Torres A: Effects of duty cycle and positive end-expiratory pressure on mucus clearance during mechanical ventilation. Crit Care Med 2012, 40: 895-902. 10.1097/CCM.0b013e318236efb5CrossRefPubMed
64.
Simonds AK: Recent advances in respiratory care for neuromuscular disease. Chest 2006, 130: 1879-1886. 10.1378/chest.130.6.1879CrossRefPubMed
65.
Branson RD, Johannigman JA: What is the evidence base for the newer ventilation modes? Respir Care 2004, 49: 742-760.PubMed
66.
Kacmarek RM: Proportional assist ventilation and neurally adjusted ventilatory assist. Respir Care 2011, 56: 140-148. discussion 149-152 10.4187/respcare.01021CrossRefPubMed
67.
Blankman P, Gommers D: Lung monitoring at the bedside in mechanically ventilated patients. Curr Opin Crit Care 2012, 18: 261-266. 10.1097/MCC.0b013e3283534a4aCrossRefPubMed
68.
Lichtenstein D: Should lung ultrasonography be more widely used in the assessment of acute respiratory disease? Expert Rev Respir Med 2010, 4: 533-538. 10.1586/ers.10.51CrossRefPubMed
69.
Moerer O, Hahn G, Quintel M: Lung impedance measurements to monitor alveolar ventilation. Curr Opin Crit Care 2011, 17: 260-267. 10.1097/MCC.0b013e3283463c9cCrossRefPubMed
70.
Kopp R, Bensberg R, Wardeh M, Rossaint R, Kuhlen R, Henzler D: Pumpless arterio-venous extracorporeal lung assist compared with veno-venous extracorporeal membrane oxygenation during experimental lung injury. Br J Anaesth 2012, 108: 745-753. 10.1093/bja/aes021CrossRefPubMed
71.
Checkley W: Extracorporeal membrane oxygenation as a first-line treatment strategy for ARDS: is the evidence sufficiently strong? JAMA 2011, 306: 1703-1704. 10.1001/jama.2011.1504CrossRefPubMed
72.
Australia and New Zealand Extracorporeal Membrane Oxygenation (ANZ ECMO) Influenza Investigators, Davies A, Jones D, Bailey M, Beca J, Bellomo R, Blackwell N, Forrest P, Gattas D, Granger E, Herkes R, Jackson A, McGuinness S, Nair P, Pellegrino V, Pettilä V, Plunkett B, Pye R, Torzillo P, Webb S, Wilson M, Ziegenfuss M: Extracorporeal membrane oxygenation for 2009 influenza A(H1N1) acute respiratory distress syndrome. JAMA 2009, 302: 1888-1895.CrossRef
Metadaten
Titel
Mechanical ventilation: past lessons and the near future
verfasst von
John J Marini
Publikationsdatum
01.02.2013
Verlag
BioMed Central
Erschienen in
Critical Care / Ausgabe Sonderheft 1/2013
Elektronische ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc11499

Weitere Artikel der Sonderheft 1/2013

Critical Care 1/2013 Zur Ausgabe

Review

Rational fluid management in today's ICU practice

Review

Critical care - where have we been and where are we going?

Review

The evolution of nutrition in critical care: how much, how soon?

Review

Supporting hemodynamics: what should we target? What treatments should we use?

Review

Get to the point in intensive care medicine - the sooner the better?

Review

Towards integrative physiological monitoring of the critically ill: from cardiovascular to microcirculatory and cellular function monitoring at the bedside

Neu im Fachgebiet AINS

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

25.04.2024 Allergien und Intoleranzreaktionen Nachrichten

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

hier abonnieren
Bildnachweise