OPTIMAL FLOW PATTERN FOR MECHANICAL VENTILATION OF LUNGS .2. EFFECT OF A SINE VERSUS SQUARE-WAVE FLOW PATTERN WITH AND WITHOUT AN END-INSPIRATORY PAUSE ON PATIENTS

In four series of patients, the efficiency of ventilation of a sine wave without an end-inspiratory pause was compared to a square wave without a pause, a sine wave with a pause to a square wave with a pause, a sine wave to a sine wave with a pause, and a sine wave with a long pause to one with a short pause. The primary mode of evaluation was through simultaneous airway and arterial argon washout curves. Additional cardiopulmonary measurements were made. Results indicate: (1) a statistically significant improvement in ventilation with a sine wave with a pause; (2) a statistically significant improvement with the longer pause as compared to the short pause.