Flow-controlled ventilation - a new and promising method of ventilation presented with a review of the literature

Substantial efforts have been undertaken to identify and minimise factors responsible for the development of ventilator-induced lung injury. A novel approach to this problem addresses energy dissipated in lung tissue during the breathing cycle as one of the key problems. Flow-controlled ventilation...

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Bibliographic Details
Published in:Anaesthesiology intensive therapy : official publication of the Polish Society of Anaesthesiology and Intensive Therapy 2022-01, Vol.54 (1), p.62-70
Main Authors: Bialka, Szymon, Palaczynski, Piotr, Szuldrzynski, Konstanty, Wichary, Piotr, Kowalski, Denis, van der Hoorn, José W A, Böttinger, Lena, Misiolek, Hanna
Format: Article
Language:English
Subjects:
Energy dissipation
flow-controlled ventilation
Gas flow
Humans
Lung
Lungs
mechanical ventilation
Patients
Respiration
Respiration, Artificial - methods
Respiratory Distress Syndrome - therapy
Respiratory system
Review
Surgeons
Surgery
ventilator-induced lung injury
Ventilator-Induced Lung Injury - prevention & control
Ventilators
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Summary:Substantial efforts have been undertaken to identify and minimise factors responsible for the development of ventilator-induced lung injury. A novel approach to this problem addresses energy dissipated in lung tissue during the breathing cycle as one of the key problems. Flow-controlled ventilation is a new modality of mechanical ventilation based on a constant flow during both inspiration and expiration. This review aims to evaluate the current evidence available regarding flow-controlled ventilation. Lastly, three cases of flow-controlled ventilation application are presented: ventilation with a small lumen tube during tracheal resection, one-lung ventilation during thoracoscopic lobectomy, and ventilation of a critically ill patient with acute respiratory distress syndrome in an intensive care unit setting.
ISSN:1642-5758
1731-2531
DOI:10.5114/ait.2022.112889