[Assisted ventilation of the lungs as a method of transition from artificial pulmonary ventilation to spontaneous respiration].

The authors describe the principal methods of assisted ventilation of the lungs used for smooth and safe transition from artificial ventilation to spontaneous respiration: trigger method, intermittent forced ventilation of the lungs, pressure support, permanent positive pressure respiration, jet high-frequency ventilation of the lungs, and two systems of the respirator response to spontaneous attempts of the patient: to pressure change and flow-by change. Basing on their own experience, the authors claim that patients with parenchymatous respiratory insufficiency better tolerate the method of pressure support, whereas those with ventilation respiratory insufficiency can be best treated by intermittent forced ventilation of the lungs. Jet high-frequency ventilation of the lungs may serve a full-value alternative to the flow-by method.