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British Journal of Anaesthesia, 2002, Vol. 89, No. 3 512-514
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

Flow-by induced hypoventilation in high spinal cord lesions—report of two cases

S. Kannan1, N. Sherwood2,* and A. Armfield2

1 Department of Anaesthetics City Hospital Dudley Road, Birmingham B18 7QH, UK
2 Department of Nursing, City Hospital Dudley Road, Birmingham B18 7QH, UK

*Corresponding author

Flow triggering in ventilators is an alternative to pressure triggering. Differences between these two trigger mechanisms may not be clinically significant in most patients. We report two patients with high spinal cord lesions in whom the use of flow triggering was unsuccessful. Severe muscle weakness in these patients made them sensitive to small changes in ventilator trigger characteristics.

complications, quadriplegia lung, tidal volume ventilation, hypoventilation ventilation, mechanical


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