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Chest, Vol 74, 501-507, Copyright © 1978 by American College of Chest Physicians

ARTICLES

Criteria for selective positive end-expiratory pressure and independent synchronized ventilation of each lung

GC Carlon, C Ray Jr, R Klein, PL Goldiner and S Miodownik

Respiratory failure of different origins often requires therapy with mechanical ventilation and positive end-expiratory pressure (PEEP). These supports are occasionally inadequate if the damage to one lung is significantly more pronounced than that to the other lung. Technical means exist to ventilate each lung independently or to provide a different PEEP to each lung. The findings from nine patients in whom one of these techniques was applied are presented, and advantages and disadvantages are discussed.


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