The Science Journal of the American Association for Respiratory Care

2000 OPEN FORUM Abstracts

What is the Future of Mechanical Ventilation?

Lluis Blanch, MD Hospital de Sabadell, Spain

Mechanical ventilation is a lifesaving treatment for patients with acute respiratory failure. In the past, research has been done on the field of new modes, weaning techniques, and on the adverse consequences of mechanical ventilation: increased positive intrathoracic pressure, lung infections, and ventilator induced lung injury. The future of mechanical ventilation should be focused on which modifications of ventilator management will represent a true therapeutic advance. In the clinical field, more research is warranted on optimal selection of ventilator settings and modes, how to satisfactorily improve patient-ventilator interaction, the combination of mechanical ventilation and their adjuncts, and when to apply non-invasive mechanical ventilation. Finally, the impact of new monitoring tools to assess lung volumes or respiratory muscle activity should be evaluated.

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