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The ins and outs of ventilation 1. Basic principles

ALTHOUGH the rhythmic squeezing of a bag is still the basic method of providing controlled ventilation in veterinary patients, there are many automatic mechanical ventilators now available, each boasting some advantage over another. This article discusses important physiological aspects of controlled ventilation and, in particular, their bearing on ventilator requirements for anaesthesia and intensive care. An article in the next issue will describe how some of the available machines can be used for the ventilatory support of anaesthetised animals.

Alex Dugdale graduated from Cambridge in 1990. She spent six years in mixed practice in Lancashire before undertaking a three-year residency in anaesthesia and critical care at the Animal Health Trust in Newmarket. She is currently head of the Division of Veterinary Anaesthesia at Liverpool veterinary school. She holds the certificate in veterinary anaesthesia.