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Review
. 2016 Dec 2;3(4):33.
doi: 10.3390/jcdd3040033.

Management of Mechanical Ventilation in Decompensated Heart Failure

Brooks T Kuhn  1   2 , Laura A Bradley  3 , Timothy M Dempsey  4 , Alana C Puro  5 , Jason Y Adams  6   7
Affiliations
Review

Management of Mechanical Ventilation in Decompensated Heart Failure

Brooks T Kuhn et al. J Cardiovasc Dev Dis. .

Abstract

Mechanical ventilation (MV) is a life-saving intervention for respiratory failure, including decompensated congestive heart failure. MV can reduce ventricular preload and afterload, decrease extra-vascular lung water, and decrease the work of breathing in heart failure. The advantages of positive pressure ventilation must be balanced with potential harm from MV: volutrauma, hyperoxia-induced injury, and difficulty assessing readiness for liberation. In this review, we will focus on cardiac, pulmonary, and broader effects of MV on patients with decompensated HF, focusing on practical considerations for management and supporting evidence.

Keywords: congestive heart failure; mechanical ventilation; weaning.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Summary of the effects of positive end expiratory pressure (PEEP).
See this image and copyright information in PMC

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