Conclusion
Placing the respiratory muscles at rest in patients in shock has a strong theoretical and experimental basis, both to avoid the complication of respiratory failure and to improve the prognosis. From our studies we may conclude that early institution of mechanical ventilation in shock will reduce respiratory muscle activity, will reduce respiratory muscle oxygen requirements, will avoid muscle fatigue and respiratory failure, will increase blood flow and oxygen availability to essential organs, will decrease the severity of lactic acidosis which may be associated with an improved prognosis and will decrease the demand of the failing myocardium whose own blood and oxygen supply may be critically reduced.
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Roussos, C. Diaphragmatic fatigue and blood flow distribution in shock. Can Anaesth Soc J 33 (Suppl 1), S61–S64 (1986). https://doi.org/10.1007/BF03019158
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DOI: https://doi.org/10.1007/BF03019158