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Title: Techniques for ventilating patients with obstructive pulmonary disease. Author: Corbridge TC, Hall JB. Journal: J Crit Illn; 1994 Nov; 9(11):1027-36. PubMed ID: 10150697. Abstract: In patients with obstructive lung disease, a strategy of mechanical ventilation that prolongs expiratory time and limits lung hyperinflation can decrease barotrauma. To prolong expiratory time, decrease minute ventilation and inspiratory time. Side effects of this strategy--high peak pressures and hypercapnia--are generally well tolerated. Additional goals for COPD patients include resting and strengthening respiratory muscles and decreasing load on the respiratory system. Short-acting benzodiazepines and morphine are effective for sedation and analgesia. Paralytic agents should be considered only if adequate control of the patient's cardiopulmonary status cannot be achieved by sedation alone.[Abstract] [Full Text] [Related] [New Search]