Skip to main content

Intermittent Mandatory Ventilation: Revisited

  • Chapter
Update 1988

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 5))

Abstract

Intermittent mandatory ventilation (IMV) was introduced as a weaning technique by Downs in 1973 [1]. It allows the patients to breathe spontaneously in-between or simultaneous with mandatory breaths delivered from the mechanical ventilator. This was first accomplished by connecting a continuous flow CPAP system to the inspiratory line of the ventilator.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Downs JB, Klein EF, Desautels D, Modell JH, Kirby RR (1973) Intermittent mandatory ventilation: a new approach to weaning patients from mechanical ventilators. Chest 64:331–335.

    Article  CAS  PubMed  Google Scholar 

  2. Samodelov LF, Falke K (1988) Total inspiratory work with modern demand valve devices compared to continuous flow CPAP. (submitted).

    Google Scholar 

  3. Falke KJ, Samodelov LF (1986) Inspiratory work of breathing with CPAP-systems. In: Update on Intensive Care and Emergency Medicine, vol 1. Springer, Berlin Heidelberg New York London Paris Tokyo, pp 96–100.

    Google Scholar 

  4. Shapiro BA (1984) The IMV controversy: Full vs partial ventilatory support. In: JL Vincent (ed) Update in Intensive Care and Emergency Medicine, Springer, Berlin Heidelberg New York Tokyo, pp 36–38.

    Google Scholar 

  5. Steinhoff H, Falke KJ, Schwarzhoff W (1982) Enhanced renal function associated with intermittent mandatory ventilation in acute respiratory failure. Intensive Care Med 8:69–74.

    Article  CAS  PubMed  Google Scholar 

  6. Steinhoff H, Kohlhoff RJ, Falke KJ (1984) Facilitation of excretory function and hemodynamics of the kidneys by intermittent mandatory ventilation. Intensive Care Med 10:59–64.

    Article  CAS  PubMed  Google Scholar 

  7. Wolff G, Brunner JX, Gradel E (1986) Gas exchange during mechanical ventilation and spontaneous breathing. Intermittent mandatory ventilation after open heart surgery. Chest 90:11–17.

    Article  CAS  PubMed  Google Scholar 

  8. Shapiro BA, Cane RD (1984) The IMV-AMV controversy: a plea for clarification and redirection. Crit Care Med 12:472–473.

    Article  CAS  PubMed  Google Scholar 

  9. Weisman IM, Rinaldo JE, Rogers RM, Sanders MH (1983) Intermittent mandatory ventilation. Am Rev Respir Dis 127:641–647.

    CAS  PubMed  Google Scholar 

  10. Schlobohm RM, Falltrick RT, Quan SF, Katz JA (1981) Lung volumes, mechanics, and oxygenation during spontaneous positive-pressure ventilation: the advantage of CPAP over EPAP. Anesthesiology 55:416–422.

    Article  CAS  PubMed  Google Scholar 

  11. Quan SF, Falltrick RT, Schlobohm RM (1981) Extubation from ambient or expiratory positive airway pressure in adults. Anesthesiology 55:53–56.

    Article  CAS  PubMed  Google Scholar 

  12. Marini JJ, Capps JS, Culver BH (1985) The inspiratory work of breathing during assisted mechanical ventilation. Chest 87:612–618.

    Article  CAS  PubMed  Google Scholar 

  13. MacIntyre NR (1986) Respiratory function during pressure support ventilation. Chest 89:677–683.

    Article  CAS  PubMed  Google Scholar 

  14. Brochard L, Harf A, Lorino H, Lemaire F (1987) Decreases work of breathing and oxygen consumption during weaning from mechanical ventilation (MV). Am Rev Respir Dis 135:A51 (Abstract).

    Google Scholar 

  15. Brochard L, Pluskwa F, Lemaire F (1987) Improved efficacy of spontaneous breathing with inspiratory pressure support. Am Rev Respir Dis 136:411–415.

    Article  CAS  PubMed  Google Scholar 

  16. Kanak R, Fahey PJ, Vanderwarf C (1985) Oxygen cost of breathing: Changes dependent upon mode of mechanical ventilation. Chest 87:126–127.

    Article  CAS  PubMed  Google Scholar 

  17. Cohen CA, Zagelbaum G, Gross D, Roussos C, Macklem PT (1982) Clinical manifestations of inspiratory muscle fatigue. Am J Med 73:308–316.

    Article  CAS  PubMed  Google Scholar 

  18. Tobin MJ, Perez W, Guenther SM, et al (1986) The pattern of breathing during succesful and unsuccessful trials of weaning from mechanical ventilation. Am Rev Respir Dis 134:1111–1118.

    CAS  PubMed  Google Scholar 

  19. Herrera M, Blasco J, Venegas J, Barba R, Doblas A, Marquez E (1985) Mouth occlusion pressure in acute respiratory failure. Intensive Care Med 11:134–139.

    Article  CAS  PubMed  Google Scholar 

  20. Taylor RF, Marini JJ, Smith TC, Lamb VJ (1987) Bedside estimation of respiratory drive during machine assisted ventilation. Am Rev Respir Dis 135:A51.

    Google Scholar 

  21. Whitelaw WS, Derenne JP, Milic-Emili J (1975) Occlusion pressure as a measure of respiratory center output in conscious man. Resp Physiol 23:181–199.

    Article  CAS  Google Scholar 

  22. Milic-Emili J, Whitelaw WA, Derenne J-P (1975) Occlusion pressure-a simple measure of the respiratory center’s output. N Engl J Med 292:1029–30.

    Google Scholar 

  23. Sassoon CSH, Te TT, Mahutte K, Light RW (1987) Am important indicator for successful weaning in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 135:107–113.

    CAS  PubMed  Google Scholar 

  24. Aubier M, Trippenbach T, Roussos C (1981) Respiratory muscle fatigue during cardiogenic shock. J Appl Physiol 51:499–508.

    CAS  PubMed  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Falke, K.J. (1988). Intermittent Mandatory Ventilation: Revisited. In: Vincent, J.L. (eds) Update 1988. Update in Intensive Care and Emergency Medicine, vol 5. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83392-2_93

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-83392-2_93

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-18981-7

  • Online ISBN: 978-3-642-83392-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics