Abstract：
:A number of adjuncts to mechanical ventilation have been the focus of recent research. Automatic tube compensation (the regulation of airway pressure by estimation of tracheal pressure) appears to be an ideal approach to unloading the resistive effort imposed by the endotracheal tube. Randomized controlled trials have recently been performed with high frequency oscillation (HFO), partial liquid ventilation (PLV), and prone positioning. Unfortunately, all of those trials were negative; however, it appears the only technique that will be abandoned for the near future is PLV. The HFO trial trended toward benefit with HFO, and one must question the protocol used in the prone positioning trial. With both HFO and prone positioning we will have to wait for additional randomized clinical trials before the status of those techniques can be determined. No randomized trials of tracheal gas insufflation have been performed. Of major concern with tracheal gas insufflation is the lack of a commercial product.
journal_name
Respir Carejournal_title
Respiratory careauthors
Kacmarek RMkeywords:
subject
Has Abstractpub_date
2002-03-01 00:00:00pages
319-30; discussion 330-3issue
3eissn
0020-1324issn
1943-3654journal_volume
47pub_type
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