Mechanical Ventilation in 2035: Indications, Monitoring and Outcomes

Baedorf Kassis, Elias Talmor Daniel

Mechanical ventilation in 2035 will be defined by the evolution of personalized medical care. The level of personalization will be possible because of an improved understanding of the basic pathophysiology of lung injury, the potentially competing goal of liberalization and prevention of prolonged ventilation, a deeper understanding of the patient-ventilator interaction, the role of dyssynchrony and spontaneous efforts in critical illness, and the identification of disease phenotypes which will define specific optimal treatment approaches. Lastly this optimization will be facilitated by advancements in technology allowing improving direct lung visualization during ventilation and ventilators providing fully autonomous closed loop care for patients.