Protocol for ventilator management in high tetraplegia

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Article about the use of mechanical respirators to deliver respiratory assistance via a tracheostomy to persons with high tetraplegia. It focuses on the efficacy of high-volume respiration for clearing atelectasis and on speeding the ventilator weaning process. The authors present and discuss a theoretical rationale for the Rocky Mountain Regional Spinal Injury Systemfor ventilator-dependent patients with tetraplegia, in which the tidal volume of the ventilator is increased by 100 cc and the ventilator flow rate is increased by 10 L/mm at periodic intervals.

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