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A brief discontinuation (< 1 week) of long-term ventilation may be necessary in patients who are not totally ventilator-dependent in cases of technical problems, intolerable nasal irritation, upper airway congestion, or travel.
This study suggests that pressure support ventilation may be superior to controlled ventilation with respect to limiting ventilator-induced diaphragmatic dysfunction.
Prolonged and repeated prone ventilation may be more effective.
So the one remaining room with natural light and ventilation may be sufficient under the code.
Alternatively, positive-pressure ventilation may be used, including tracheal intubation without muscle relaxants.
Upon resolution of the underlying pathology mechanical ventilation may be withdrawn.
Proper ventilation may be achieved by local exhaust ventilation, or the use of portable ventilation fans, or a combination of the two practices.
In these subjects the indication for mechanical ventilation may be questionable.
Life-threatening check valve formation due to tracheobronchial aspergillosis under positive-pressure ventilation may be rare.
Positive pressure ventilation may be avoided when possible because it is deleterious by more increasing the RV afterload.
Additionally, the global lung environment (pressure gradients, airway closure patterns, perfusion, and ventilation) may be influenced by positional variation [13].
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