What Can and What Should Be Controlled During Artificial Ventilation?
Although significant improvements in respiratory monitoring have occurred over the past decade, modern technology has not decreased the incidence of inadvertently low oxygen concentrations; rather, the incidence has increased . Despite the ubiquitous presence of pulse oxymeters in the intensive care unit, it is unclear if they really contribute to clinical decision-making or if they affect patient morbidity or mortality. We have to conclude, therefore, that the management of ventilation can and should be improved. The question whether an automatic control of ventilation based on excellent respiratory monitoring is useful and whether it may improve the safety for artificially ventilated patients should be discussed.
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