Abstract
Pressure controlled ventilation (PCV) has been used extensively in the ventilation of neonates, but only over the last decade has it taken off as an alternative mode of mechanical ventilation for intensivists in adult intensive care units (ICU). PCV (often linked synonymously with inverse ratio ventilation as PC-IRV) was introduced to many as a mode of last resort when problems were occurring with more traditional forms of ventilation. PCV offers a mode of ventilation suited to the most complex ventilatory challenges, including severe acute respiratory distress syndrome (ARDS), extremes of airflow obstruction and synchrony with a difficult to wean patient.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Marini J J (1994) Pressure-controlled ventilation. In: Tobin MJ (ed) Principles and practice of mechanical ventilation. McGraw-Hill, New York, pp 305–318
McKibben AW, Ravenscraft SA (1996) Pressure-controlled and volume-cycled ventilation. Clin Chest Med 17: 395–410
Davis K Jr, Branson RD, Campbell RS, Porembka DT (1996) Comparison of volume control and pressure control ventilation: is flow waveform the difference? J Trauma 41: 808–814
Mang H, Kacmarek RM, Ritz R, Wilson RS, Kimball WP (1995) Cardiorespiratory effects of volume- and pressure-controlled ventilation at various I/E ratios in an acute lung injury model. Am J Respir Crit Care Med 151: 731–736
Maclntyre NR (1995) Breathing comfort during weaning with two ventilatory modes. Am J Respir Crit Care Med 151: 254–258
Marini J J (1996) Tidal volume, PEEP, and barotrauma. An open and shut case? Chest 109: 302–304
Webb HH, Tierney DF (1974) Experimental pulmonary edema due to intermittent positive pressure ventilation with high inflation pressures. Protection by positive end-expiratory pressure. Am Rev Respir Dis 110: 556–565
Muscedere JG, Mullen JB, Gan K, Slutsky AS (1994) Tidal ventilation at low airway pressures can augment lung injury. Am J Respir Crit Care Med 149: 1327–1334
Tremblay L,Valeriza F, Ribeiro SP,Li J, Slutsky AS (1997) Injurious ventilatory strategies increase cytokines and c-fos m-RNA expression in an isolated rat lung model. J Clin Invest 99: 944–952
Amato MBP, Barbas CSV, Medeiros DM, et al (1995) Beneficial effects of the “open lung approach” with low distending pressures in acute respiratory distress syndrome. Am J Respir Crit Care Med 152: 1835–1846
Cereda M, Foti G, Musch G, Sparacino ME, Pesenti A (1996) Positive end-expiratory pressure prevents the loss of respiratory compliance during low tidal volume ventilation in acute lung injury patients. Chest 109: 480–485
Amato MBP, Barbas CSV, Medeiros DM, et al (1996) Improved survival in ARDS: Beneficial effects of a lung protective strategy. Am J Respir Crit Care Med 153: A531 (Abst)
Mergoni M, Volpi A, Rossi A (1997) Inflection point and alveolar recruitment in ARDS. In: Vincent J-L (ed) Yearbook of intensive care and emergency medicine. Springer-Verlag, Berlin, Heidelberg, New York, pp 556–567
Morris AH, Wallace CJ, Menlove RL, et al (1994) Randomized clinical trial of pressure-controlled inverse ratio ventilation and extracorporeal C02 removal for adult respiratory distress syndrome. Am J Respir Crit Care Med 149: 295–305
Slutsky AS (1993) Mechanical Ventilation (ACCP consensus conference). Chest 104: 1833–1859
Marini J J (1994) Ventilation of the acute respiratory distress syndrome. Looking for Mr. Good-mode. Anesthesiology 80: 972–975
Papadakos PJ, Apostolakos MJ (1996) High-inflation pressure and positive end-expiratory pres¬sure. Injurious to the lung? Yes. Crit Care Clin 12: 627–634
Nelson LD (1996) High-inflation pressure and positive end-expiratory pressure. Injurious to the lung? No. Crit Care Clin 12: 603–625
Brower R, Shanholtz C, Shade D, et al (1997) Randomized controlled trial of small volume ventilation (STV) in ARDS. Am J Resp Crit Care Med 155: A93 (Abst)
Brochard L, Roudot-Thoraval F (1997) Tidal volume (Vt) reduction in acute respiratory distress syndrome (ARDS): A multicenter randomized study. Am J Resp Crit Care Med 155: A505 (Abst)
Stewart E, Meade MO, Granton J, et al (1997) Pressure and volume limited ventilation strategy (PLVS) in patients at high risk for ARDS - results of a multicenter trial. Am J Resp Crit Care Med 155: A505 (Abst)
Nahum A (1995) Use of pressure and flow waveforms to monitor mechanically ventilated patients. In: Vincent J-L (ed) Yearbook of intensive care and emergency medicine. Springer-Verlag, Berlin, Heidelberg, New York, pp 89–114
Bolton CF (1996) Neuromuscular conditions in the intensive care unit. Intensive Care Med 22: 841–843
Morley P (1994) Work of breathing. Intensive Care World 11: 117–121
Dick CR, Sassoon CSH (1996) Patient-ventilator interactions. Clin Chest Med 17: 423–438
Maclntyre NR (1996) New modes of mechanical ventilation. Clin Chest Med 17: 411–421
Branson RD, Campbell RS, Davis K Jr, Johnson DJ (1994) Comparison of pressure and flow triggering systems during continuous positive airway pressure. Chest 106: 540–544
Giuliani R, Mascia L, Recchia F, Caracciolo A, Fiore T, Ranieri VM (1995) Patient-ventilator interaction during synchronized intermittent mandatory ventilation. Effects of flow triggering. Am J Respir Crit Care Med 151: 1–9
Esteban A, Frutos F, Tobin MJ, et al (1995) A comparison of four methods of weaning patients from mechanical ventilation. N Engl J Med 332: 345–350
Brochard L, Rauss A, Benito S, et al (1994) Comparison of three methods of gradual withdrawal from ventilatory suport during weaning from mechanical ventilation. Am J Respir Crit Care Med 150: 896–903
Fabry B, Guttmann J, Eberhard L, Bauer T, Haberthur C, Wolff G (1995) An analysis of desynchronization between the spontaneously breathing patient and ventilator during inspiratory pressure support. Chest 107: 1387–1394
Maclntyre NR, Cheng KC, McConnell R (1997) Applied PEEP during pressure support reduces the inspiratory threshold load of intrinsic PEEP. Chest 111: 188–193
Meduri GU (1996) Noninvasive positive-pressure ventilation in patients with acute respiratory failure. Clin Chest Med 17: 513–553
Chatburn RL, El Khatib MF, Smith PG (1994) Respiratory system behavior during mechanical inflation with constant inspiratory pressure and flow. Respir Care 39: 979–988
Gregoretti C, Foti G, Beltrame F, et al (1995) Pressure control ventilation and minitracheotomy in treating severe flail chest trauma. Intensive Care Med 21: 1054–1056
Kacmarek RM, Kirmse M, Nishimura M, Mang H, Kimball WR (1995) The effects of applied vs auto-PEEP on local lung unit pressure and volume in a four-unit lung model. Chest 108: 1073–1079
Brochard L (1996) Pressure-support ventilation: still a simple mode? Intensive Care Med 22: 1137–1138
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1998 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Morley, P. (1998). Pressure Controlled Ventilation (PCV): The Ideal Mode of Mechanical Ventilation?. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1998. Yearbook of Intensive Care and Emergency Medicine, vol 1998. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72038-3_36
Download citation
DOI: https://doi.org/10.1007/978-3-642-72038-3_36
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-63798-1
Online ISBN: 978-3-642-72038-3
eBook Packages: Springer Book Archive