Editorial Views  |   December 2017
Synchrony and the Art of Mechanical Ventilation
Author Notes
  • From the Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada; and the Division of Respirology, Department of Medicine, University Health Network, Toronto, Ontario, Canada.
  • Corresponding article on page 989.
    Corresponding article on page 989.×
  • Accepted for publication September 7, 2017.
    Accepted for publication September 7, 2017.×
  • Address correspondence to Dr. Goligher: ewan.goligher@mail.utoronto.ca
Article Information
Editorial Views / Respiratory System
Editorial Views   |   December 2017
Synchrony and the Art of Mechanical Ventilation
Anesthesiology 12 2017, Vol.127, 915-917. doi:10.1097/ALN.0000000000001921
Anesthesiology 12 2017, Vol.127, 915-917. doi:10.1097/ALN.0000000000001921
“LIFE is short, and art long,” wrote Hippocrates in his Aphorisms. Only as one begins to develop some mastery in the practice of medicine does one begin to conceive of the complexities of caring for the sick and to acquire the art of managing those complexities. Artistry—even the mere appreciation of it—comes as the clinician matures in practice.
Although Hippocrates was probably not thinking of mechanical ventilation when he wrote Aphorisms, his proverb very much applies to this rapidly evolving and critically important technologic intervention in modern medicine. Clinicians managing ventilation must juggle multiple competing concerns: adequate acid–base homeostasis, ventilator-induced lung injury, ventilator-induced diaphragm dysfunction, and sedation-related immobility. Moreover, there is now a burgeoning body of literature on the complex challenge of synchronizing patient and ventilator exemplified by the rigorous and insightful study of Rolland-Debord et al.,1  published in this issue of Anesthesiology. As the field matures, the art of mechanical ventilation has become very complex indeed.
First Page Preview
First page PDF preview
First page PDF preview ×
View Large