Noninvasive motion ventilation (NIMV): a novel approach to ventilatory support

作者: Jose A. Adams , Martin J. Mangino , Jorge Bassuk , D. Michael Inman , Marvin A. Sackner

DOI: 10.1152/JAPPL.2000.89.6.2438

关键词:

摘要: A motion platform was developed that oscillates an animal in a foot-to-head direction (z-plane). The varies the frequency and intensity of acceleration, imparting periodic sinusoidal inertial forces (pG(z)) to body. aim study characterize ventilation produced by noninvasive ventilator (NIMV) animals with healthy diseased lungs. Incremental increases pG(z) (acceleration) held constant (f = 4 Hz) almost linear minute (VE). Frequencies 2-4 Hz greatest VE tidal volume (VT) for any given acceleration between +/-0.2 +/-0.8 G. Increasing force due proportional both transpulmonary transdiaphragmatic pressures. pressure increasing VT, similar spontaneous breathing. NIMV reversed deliberately induced hypoventilation normalized changes arterial blood gases meconium aspiration. In conclusion, novel is described imparts at moderate frequencies (4 whole body z-plane. These forces, when properly adjusted, are capable highly effective normal Such accomplished airway pressures equivalent atmospheric or continuous positive pressure, less than +/-1 G(z).

参考文章(21)
N. Gavriely, D. P. Gaver, J. Solway, J. B. Grotberg, Comparative study of intra-airway gas transport by alternative modes of ventilation. Journal of Applied Physiology. ,vol. 79, pp. 1512- 1518 ,(1995) , 10.1152/JAPPL.1995.79.5.1512
H. E. von Gierke, G. H. Ziegenruecker, A. L. Wittwer, R. R. Coermann, The passive dynamic mechanical properties of the human thorax-abdomen system and of the whole body system. Aerospace medicine. ,vol. 31, pp. 443- 455 ,(1960)
Panagiotis K. Behrakis, Ahmet Baydur, Joseph Milic-Emili, Walter A. Zin, Marc Jaeger, A simple method for assessing the validity of the esophageal balloon technique. The American review of respiratory disease. ,vol. 126, pp. 788- 791 ,(2015) , 10.1164/ARRD.1982.126.5.788
B. G. Guslits, S. E. Gaston, M. H. Bryan, S. J. England, A. C. Bryan, Diaphragmatic work of breathing in premature human infants. Journal of Applied Physiology. ,vol. 62, pp. 1410- 1415 ,(1987) , 10.1152/JAPPL.1987.62.4.1410
ZAMIR HAYEK, C. ANTHONY RYAN, FABIEN EYAL, RICHARD JONES, JOSEPH ARMENGOL, E. GARNER KING, NEIL N. FINER, Comparison of high-frequency chest wall compression with conventional mechanical ventilation in cats. Critical Care Medicine. ,vol. 15, pp. 676- 681 ,(1987) , 10.1097/00003246-198707000-00010
Ronald B. Hirschl, Respiratory Failure: Current Status of Experimental Therapies Seminars in Pediatric Surgery. ,vol. 8, pp. 155- 170 ,(1999) , 10.1016/S1055-8586(99)70017-X
David M. Eckmann, Noam Gavriely, Chest vibration redistributes intra-airway CO2 during tracheal insufflation in ventilatory failure Critical Care Medicine. ,vol. 24, pp. 451- 457 ,(1996) , 10.1097/00003246-199603000-00015
L. Holzapfel, D. Robert, F. Perrin, P. Gaussorgues, D. P. Giudicelli, Comparison of high-frequency jet ventilation to conventional ventilation in adults with respiratory distress syndrome. Intensive Care Medicine. ,vol. 13, pp. 100- 105 ,(1987) , 10.1007/BF00254793
SHERRY E. COURTNEY, KAYE R. WEBER, WILLIAM A. SPOHN, SETH W. MALIN, CHARLES V. BENDER, ROBERT W. GOTSHALL, Measurement of tidal volume using a pneumotachometer during high-frequency oscillation. Critical Care Medicine. ,vol. 18, pp. 651- 653 ,(1990) , 10.1097/00003246-199006000-00015
Elsa R. Hirvela, Advances in the Management of Acute Respiratory Distress Syndrome Archives of Surgery. ,vol. 135, pp. 126- 135 ,(2000) , 10.1001/ARCHSURG.135.2.126