The Science Journal of the American Association for Respiratory Care

Conference Proceedings

April 2002 / Volume 47 / Number 4 / Page 508

Invasive Mechanical Ventilation in Adults: Conference Summary

Neil R MacIntyre MD FAARC

Introduction
Historical Perspective: Ventilatory Support and Acute
Respiratory Failure
Indications
Frequency and Tidal Volume
Positive End-Expiratory Pressure and Fraction of Inspired Oxygen
Pressure Control Versus Volume Control
The Role of Spontaneous Breathing
Recruitment Maneuvers
Adjuncts in Ventilatory Management
Closed-Loop Ventilation
Sedation and Paralysis
Weaning and Extubation
The Role of Tracheostomy
Outcomes of Invasive Mechanical Ventilation
Concluding Remarks
Key words: mechanical ventilation, acute respiratory failure, positive end-expiratory pressure, PEEP, ventilator-associated lung injury, ventilation modes, weaning, protocols, outcome.
[Respir Care 2002;47(2):508–518]

Introduction

It is always an honor to be the summarizer of a RESPIRATORY CARE Journal Conference. This particular one has been enjoyable for several reasons. First, I find the topic of invasive mechanical ventilation exciting. We have learned so much about the complex physiology of this life support technology in recent years, and new developments are having an important impact on outcome. Second, the presentations over the last 2 days have been both clear and stimulating. This has made my job as summarizer very easy. Finally, the interactions during the discussions have been both informative and fun. This has been due in no small part to the wonderful job done by the American Association for Respiratory Care (AARC), the American Respiratory Care Foundation, and our sponsors in organizing this conference so well.

The entire text of this article is available in the printed version of the April 2002 RESPIRATORY CARE.

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