SYMPOSIUM

Update on modalities of mechanical ventilators

A Greenough

Correspondence to:
Correspondence to:
Professor Greenough, Children Nationwide Regional Neonatal Intensive Care, 4th floor, Ruskin Wing, King's College Hospital, London SE5 9RS, UK;
anne.greenough{at}kcl.ac.uk.

Recent advances in ventilator technology have often not been confirmed by randomised trials and instead serious shortcomings have been highlighted. Ventilation modes should only be introduced into routine clinical practice when proved efficacious in appropriately designed studies and no adverse outcomes identified by long term follow up.

Keywords: chronic lung disease; prematurity; lungs; ventilators

Abbreviations: IPPV, intermittent positive pressure ventilation; PIP, peak inspiratory pressure; PEEP, peak end expiratory pressure; PTV, patient triggered ventilation; SIPPV, synchronised intermittent positive pressure ventilation; SIMV, synchronised intermittent mandatory ventilation; CLD, chronic lung disease; ICH, intracerebral haemorrhage; PSV, pressure support ventilation; PAV, proportional assist ventilation; VG, volume guarantee; VCV, volume cycled ventilation; HFOV, high frequency oscillation ventilation; CPAP, continuous positive airway pressure

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