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J. Cardiovasc. Dev. Dis. 2016, 3(4), 33; doi:10.3390/jcdd3040033

Management of Mechanical Ventilation in Decompensated Heart Failure

Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, University of California at Davis, Sacramento, CA 95818, USA
Department of Internal Medicine, School of Medicine, University of California at Davis, Sacramento, CA 95818, USA
Author to whom correspondence should be addressed.
Academic Editor: Joel D. Schilling
Received: 24 September 2016 / Revised: 22 November 2016 / Accepted: 29 November 2016 / Published: 2 December 2016
(This article belongs to the Special Issue Heart Failure Pathogenesis and Management)
View Full-Text   |   Download PDF [477 KB, uploaded 2 December 2016]   |  


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. View Full-Text
Keywords: mechanical ventilation; congestive heart failure; weaning mechanical ventilation; congestive heart failure; weaning

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Kuhn, B.T.; Bradley, L.A.; Dempsey, T.M.; Puro, A.C.; Adams, J.Y. Management of Mechanical Ventilation in Decompensated Heart Failure. J. Cardiovasc. Dev. Dis. 2016, 3, 33.

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