[Artificial ventilation of lungs in wounded patients and patients with severe mechanical injuries]

Abstract

Artificial ventilation of the lungs with positive pressure at the end of respiration and inverse ratio of the respiratory phases was used in patients with wounds and grave mechanical injuries involving acute injuries to the lungs. Negative effect of positive pressure at the end of respiration on gas exchange, hemodynamics, and biomechanics of the lungs was confirmed and therefore this method is not recommended for such patients. Artificial ventilation of the lungs with inverse ratio of the respiratory phases improved gas exchange and biomechanical properties of the lungs, reduced the negative effect of forced ventilation on hemodynamics, and decreased the incidence of complications.