Use of negative pressure ventilation to facilitate the return of spontaneous ventilation

Negative pressure ventilation was used to facilitate the return of spontaneous ventilation in 10 patients with severe, chronic respiratory disability. All patients had required tracheal intubation and intermittent positive pressure ventilation, and conventional weaning techniques had failed. Details...

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Bibliographic Details
Published inAnaesthesia Vol. 43; no. 3; p. 216
Main Authors Simonds, A K, Sawicka, E H, Carroll, N, Branthwaite, M A
Format Journal Article
LanguageEnglish
Published England 01.03.1988
Subjects
Adolescent
Adult
Female
Humans
Intermittent Positive-Pressure Ventilation
Intubation, Intratracheal
Male
Middle Aged
Pressure
Respiration
Respiration, Artificial - methods
Time Factors
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Summary:Negative pressure ventilation was used to facilitate the return of spontaneous ventilation in 10 patients with severe, chronic respiratory disability. All patients had required tracheal intubation and intermittent positive pressure ventilation, and conventional weaning techniques had failed. Details of the method are described. It permits extubation before spontaneous ventilation can be sustained indefinitely and thus assists the return of normal speech, sleep pattern and nutrition. The lack of flexible control of ventilatory variables and absence of access to the trachea for sputum clearance limit its widespread application.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1988.tb05545.x