A reduction in arterial PCO2 is an important cause of respiratory muscle in
hibition during pressure support (PS). A nonchemical inhibition of respirat
ory activity during PS has also been demonstrated. This nonchemical inhibit
ion of inspiratory activity is not observed with all modes of mechanical ve
ntilation. lit fact, the higher is the initial flow rate provided by the ve
ntilator, the more efficient the nonchemical inhibition of respiratory acti
vity. Currently, PS is the ventilatory; support technique which provides th
e highest initial inspiratory flow. However, these new physiological findin
gs should facilitate the development of molt effective ventilatory support
techniques.