Comparison of pressure support ventilation and assist control ventilation in patients with acute respiratory failure

H. Tokioka, S. Saito, F. Kosaka

Research output: Contribution to journalArticlepeer-review

23 Citations (Scopus)

Abstract

We compared the effects of pressure support ventilation (PSV) with those of assist control ventilation (ACV) on the breathing pattern, work of breathing and blood gas exchange in 8 patients with acute respiratory failure. During ACV, the tidal volume was set at 10 ml/kg, and the inspiratory flow was set at 50 to 70l/min. During PSV, the pressure support level selected was 27±5 cm H2O to make the breathing pattern regular. Tidal volume was significantly higher (908±179 ml vs. 633±96 ml) during PSV than during ACV at a lower peak airway pressure. Respiratory frequency was lower (15±4 breaths/min vs. 24±5 breaths/min) during PSV than during ACV, associated with a lower duty cycle, which improved synchrony between the patient and the ventilator. The oxygen cost of breathing, and estimate based on the inspiratory work added by a ventilator and the oxygen consumption, did not change significantly. PaO2 was significantly higher during PSV than during ACV. We conclude that PSV using high levels of pressure support can improve the breathing pattern and oxygenation and fully sustain the patient's ventilation while matching his inspiratory efforts.

Original languageEnglish
Pages (from-to)364-367
Number of pages4
JournalIntensive Care Medicine
Volume15
Issue number6
DOIs
Publication statusPublished - Sep 1 1989

Keywords

  • Assist control ventilation
  • Pressure support ventilation
  • Respiratory failure

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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