MICHAEL CANHAM, M.D.
To the editor: The paper by Covelli and colleagues (1) points out an important concern in the critically ill patient with inadequate respiratory function. Also, it identifies another potential problem in the ventilatory management of patients needing total parenteral nutrition: the development of acute respiratory acidosis during intermittent mandatory ventilation. Although the case reports of Patients 1 and 2 did not specifically state that intermittent mandatory ventilation was used, this mode was indicated by the low respiratory rate and low minute ventilation as well as the discussion in the text; it was stated specifically that Patient 3 received intermittent mandatory
CANHAM M. Respiratory Acidosis, Intermittent Ventilation, and Parenteral Nutrition. Ann Intern Med. ;96:254. doi: 10.7326/0003-4819-96-2-254_1
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Published: Ann Intern Med. 1982;96(2):254.
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