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ISSN: 1642-5758
Anaesthesiology Intensive Therapy
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1/2022
vol. 54
 
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abstract:
Review article

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

Szymon Bialka
1
,
Piotr Palaczynski
1
,
Konstanty Szuldrzynski
2
,
Piotr Wichary
3
,
Denis Kowalski
3
,
José W.A. van der Hoorn
4
,
Lena Böttinger
4
,
Hanna Misiolek
1

  1. Department of Anaesthesiology, Intensive Care and Emergency Medicine, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland
  2. Department of Anaesthesiology and Intensive Care, Central Clinical Hospital Ministry of Interior and Administration, Warsaw, Poland
  3. Student Scientific Society at the Department of Anaesthesiology, Intensive Care and Emergency Medicine, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland
  4. Ventinova Medical B.V., Eindhoven, The Netherlands
Anaesthesiol Intensive Ther 2022; 54, 1: 62–70
DOI: https://doi.org/10.5114/ait.2022.112889
Online publish date: 2022/02/08
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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.
keywords:

mechanical ventilation, ventilator-induced lung injury, flow-controlled ventilation
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