Microprocessor-controlled intensive care ventilators combine controls
of pressure, flow, volume, and timing to generate various breathing mo
des and differentiated breathing patterns that will meet the respirato
ry needs of the patient. This is essential when respirator-supported v
entilation is performed. Graphic representation of ventilatory paramet
ers is another important feature, facilitating subtle adjustments. The
future may bring even more desirable options to improve monitoring of
respiratory mechanics and make management easier. Modern ventilators
differ less in technical features than do the accessories with differe
nt options. Most of these options are costly without any corresponding
benefit in terms of treatment or diagnosis; nevertheless, future upgr
ading possibilities should be borne in mind when hardware is purchased
. There is no ideal ventilator, and the success of respiratory treatme
nt will therefore continue to be dependent on the patient's underlying
disease and the therapist's level of training and experience rather t
han on the choice of respirator.