Improved ventilation efficiency due to continuous gas flow compared to decelerating gas flow in mechanical ventilation: results of a porcine trial

Author:

Abram Julia1,Spraider Patrick1ORCID,Mathis Simon1,Wagner Julian1,Ranalter Manuela1,Putzer Gabriel1,Glodny Bernhard2,Hell Tobias3ORCID,Barnes Tom4,Enk Dietmar5,Martini Judith1ORCID

Affiliation:

1. Department of Anaesthesiology and Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria

2. Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria

3. Department of Mathematics, Faculty of Mathematics, Computer Science and Physics, University of Innsbruck, Innsbruck, Austria

4. Faculty of Engineering and Science, University of Greenwich, Greenwich, United Kingdom

5. Faculty of Medicine, University of Münster, Münster, Germany

Abstract

This study examined the effects of a continuous (flow-controlled ventilation, FCV) vs. decelerating (pressure-controlled ventilation, PCV) gas flow pattern during mechanical ventilation. It was shown that FCV necessitates a lower alveolar pressure amplitude leading to reduced applied tidal volumes and consequently minute volume. Notwithstanding these differences, CO2-removal as well as oxygenation was not inferior in FCV compared with PCV, which is suggestive of improved gas exchange efficiency at a continuous gas flow pattern.

Publisher

American Physiological Society

Subject

Cell Biology,Physiology (medical),Pulmonary and Respiratory Medicine,Physiology

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