Respiratory muscles during ventilatory support

Details

Serval ID
serval:BIB_02CB50FA303B
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Respiratory muscles during ventilatory support
Journal
European Respiratory Journal
Author(s)
Fitting  J. W.
ISSN
0903-1936 (Print)
Publication state
Published
Issued date
12/1994
Volume
7
Number
12
Pages
2223-5
Notes
Journal Article
Review --- Old month value: Dec
Abstract
Knowledge of the fate and behaviour of the respiratory muscles during ventilatory support is important for the guidance of clinical care. Full support facilitates muscle metabolic repletion, but exposes them to the risk of disuse atrophy. The effect of partial support varies according to the selected mode: assisted mechanical ventilation (AMV) and synchronized intermittent mechanical ventilation (SIMV) result in much less respiratory muscle rest than generally anticipated. On the other hand, inspiratory pressure support (IPS) is able to rest the respiratory muscles and to prevent fatiguing contractions. Opposite interventions have been proposed in case of difficult weaning: either to unload the respiratory muscles by using partial support, or to overload them according to a training programme. The optimal strategy is not known and may combine both approaches.
Keywords
Humans Muscle Contraction/physiology *Respiration, Artificial/methods Respiratory Mechanics/physiology Respiratory Muscles/*physiology Ventilator Weaning
Pubmed
Web of science
Open Access
Yes
Create date
25/01/2008 9:43
Last modification date
20/08/2019 12:24
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