Controlled Ventilation with Intermittent Positive-Pressure Breathing in the Management of Acute Ventilatory Failure Associated with Chronic Obstructive Pulmonary Disease
Authors: EARLE B. WEISS
Journal: Annals of Internal Medicine (1967)

Article1 September 1967Controlled Ventilation with Intermittent Positive-Pressure Breathing in the Management of Acute Ventilatory Failure Associated with Chronic Obstructive Pulmonary DiseaseEARLE B. WEISS, M.D., MAURICIO J. DULFANO, M.D.EARLE B. WEISS, M.D.Search for more papers by this author, MAURICIO J. DULFANO, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-67-3-556 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptControlled mechanical ventilation may be employed for ventilatory support in patients with respiratory failure when assisted ventilation fails. The purpose of controlled ventilation is to reduce patient respiratory control and effort and to substitute adequate artificial ventilation, thereby providing time for appropriate medical therapy. With improvement the patient's own ventilatory effort may be capable of maintaining normal or clinically stable balance. These principles have been adequately demonstrated in acute ventilatory failure with volume-cycled respirators (1, 2). It was the purpose of this prospective study to evaluate in patients with chronic obstructive lung disease, a group usually difficult to manage during...References1. SLUITERKOOLHAASLENDETAMMELINGBLOKZIJLVAN DIJLORIE HJBRVGJEWNG: Conservative and aggressive treatment of acute severe respiratory insufficiency in patients with chronic nonspecific lung disease (C.N.S.L.D.). Med. Thorac. 21: 335, 1964. MedlineGoogle Scholar2. NORLANDERBJÖRKCRAFOORDFRIBERGHOLMDAHLSWENSSONWIDMAN OPVOCOMAB: Controlled ventilation in medical practice. Anaesthesia 16: 285, 1961. CrossrefMedlineGoogle Scholar3. SHELDON GP: Pressure breathing in chronic obstructive lung disease. Medicine (Balt.) 42: 197, 1963. CrossrefMedlineGoogle Scholar4. 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Author, Article, and Disclosure InformationAffiliations: Boston, MassachusettsFrom the Department of Medicine, Tufts University School of Medicine, and the Lung Station (Tufts) and 1 and 3 Medical Services (Tufts), Boston City Hospital, Boston, Mass.This study was supported in part by grants from the Pittsfield Anti-Tuberculosis Association, Pittsfield, Mass., and from The Council for Tobacco Research, New York, N. Y.Dr. Weiss was supported in this study by postdoctoral fellowship 5-F2-HE-23, 300, National Heart Institute, National Institutes of Health, Bethesda, Md.Requests for reprints should be addressed to Earle B. Weiss, M.D., Lung Station (Tufts), Boston City Hospital, 818 Harrison Ave., Boston, Mass. 02118. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byImpact of the Respiratory Intensive Care Unit on Survival of Patients with Acute Respiratory FailureThe Management of Acute Respiratory Failure in a Respiratory Intensive Care UnitAcute respiratory failure in chronic obstructive pulmonary diseaseUse of a Pressure-Cycled Respirator (Bird) in Respiratory Failure Due to Severe Obstructive Pulmonary DiseaseMARGARET BILLINGHAM, M.B.B.S. (LOND.), FREDERIC ELDRIDGE, M.D., F.A.C.P.Quantitative Acid-Base Dynamics in Chronic Pulmonary Disease Defense of pH During Acute Respiratory Acidosis Superimposed upon Chronic HypercapniaEARLE B. WEISS, M.D., MAURICIO J. DULFANO, M.D. 1 September 1967Volume 67, Issue 3_Part_1Page: 556-567KeywordsHeart failureHospital medicineLongitudinal studiesLungsMedical servicesProspective studiesRespiratorsRespiratory failureVentilatorsVentilatory support Issue Published: 1 September 1967 PDF downloadLoading ...