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Digitale Medien

Pressure support ventilation (PSV) reverses hyperinflation induced isorhythmic A-V dissociation (1989)

Conti, G. ; Bufi, M. ; Antonelli, M. ; [weitere]

Springer

Intensive care medicine 15 (1989), S. 319-321

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Details

ISSN: 1432-1238

Schlagwort(e): Auto-PEEP ; COPD ; Pressure support ventilation

Quelle: Springer Online Journal Archives 1860-2000

Thema: Medizin

Notizen: Abstract We report a case of hyperinflation induced isorythmic atrio-ventricular dissociation with circulatory failure in a patient with chronic obstructive pulmonary disease. The arrythmia was successfully treated by applying “pressure support ventilation” (PSV: 20 cmH2O) which, by decreasing the respiratory rate and increasing the expiratory time reduced the level of auto-PEEP. In order to explain this result the Authors recorded, in the same patient, the level of auto-PEEP and ΔFRC obtained with Intermittent Positive Pressure Ventilation (IPPV), Intermittent Mandatory Ventilation (IMV) and PSV at the same gas exchange values. PSV showed a dramatic reduction of both these parameters. (Auto-PEEP: IPPV 12 cmH2O, IMV 17 cmH2O, PSV 7 cmH2O).

Materialart: Digitale Medien

URL: http://dx.doi.org/10.1007/BF00263868

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