The lung-protective ventilation in intensive care for acutely ill patients Pulsatile BiLevel Ventilation p-BLV with TwinStream ICU This innovative mode allows the application of bi-phasic, time cycled, pressure-controlled variable low ventilation, with or without a superimposed pulsatile component. The normal frequency (NF) pulse is primarily responsible for ventilation. The high frequency (HF) pulse provides oxygenation, additional alveolar recruitment and haemodynamic stability. The p-BLV module generates a pulsatile gas column. This facilitates optimal gas exchange, respiratory gas conditioning and transmission of the pressure wave amplitude into the lung. This represents a significant advantage over conventional ventilation systems. TwinStream will provide best strategy according to the lung protective ventilation in intensive care for acutely ill patients especially Acute respiratory distress syndrome (ARDS) Pneumonia (ALI - VILI) Severe chest trauma in the context of polytrauma And ideal for young patients Primary or secondary acute lung injury Thoracic Trauma