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Respiratory assistance: A review of techniques, rationale, and problems with a glimpse at the future

  • Respiratory Assistance and Patient Monitoring
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Abstract

The history of respiratory assistance has been marked by tremendous time lags between laboratory developments and clinical application. The events of more recent history and the introduction of radically new techniques using microprocessor technology may prove that an exponential reduction of this time lag is now in progress. In the past 50 years a number of techniques of respiratory assistance have been developed and widely used but are now being phased out or rejected due to the discovery of practical, physiological, and/or pathological problems. The widespread use of continuous positive airway pressure (CPAP) and intermittent mandatory ventilation (IMV) have done much to decrease these complications of aggressive respiratory therapy. However, many patients continue to require relatively high pressure, high O2-concentration therapy. Promise of better therapy for these patients now resides with high frequency ventilation. As improvements in sensor and transducer reliability are realized, techniques used to measure the mechanical characteristics of the lungs, the distribution of ventilation, and ventilation-perfusion relationships may be automated and incorporated into respiratory control machines that will represent some future generation of mechanical ventilators. Realization of this potential cannot help but dramatically improve the develivery of respiratory assistance.

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  1. Bunnell Life Systems Inc., 391 G South Chipeta Way, 84108, Salt Lake City, Utah

    J. Bert Bunnell

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Bunnell, J.B. Respiratory assistance: A review of techniques, rationale, and problems with a glimpse at the future. Ann Biomed Eng 9, 645–657 (1981). https://doi.org/10.1007/BF02364777

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