Approaches to Conventional Mechanical Ventilation of the Patient With Acute Respiratory Distress Syndrome
نویسندگان
چکیده
منابع مشابه
Approaches to conventional mechanical ventilation of the patient with acute respiratory distress syndrome.
To minimize ventilator-induced lung injury, attention should be directed toward avoidance of alveolar over-distention and cyclical opening and closure of alveoli. The most impressive study of mechanical ventilation to date is the Acute Respiratory Distress Syndrome (ARDS) Network study of higher versus lower tidal volume (V(T)), which reported a reduction in mortality from 39.8% to 31.0% with ...
متن کاملMechanical ventilation of acute respiratory distress syndrome
Acute respiratory distress syndrome (ARDS) has been intensively and continuously studied in various settings, but its mortality is still as high as 30–40 %. For the last 20 years, lung protective strategy has become a standard care for ARDS, but we still do not know the best way to ventilate patients with ARDS. Tidal volume itself does not seem to have an important role to develop ventilator-in...
متن کاملMechanical ventilation and acute respiratory distress syndrome.
Acute respiratory distress syndrome continues to be a high-mortality condition. The role of mechanical ventilation remains primarily a supportive modality. Recent research has elucidated the adverse impact of traditional ventilation strategies on development of the disease and, ultimately, mortality. The institution of low tidal volume ventilation has been the only intervention that has resulte...
متن کامل[Acute respiratory distress syndrome, mechanical ventilation and right ventricular function].
Mechanical ventilation in acute respiratory distress syndrome (ARDS) implies an increase in alveolar and transpulmonary pressure, giving rise to major alterations in pulmonary circulation and causing right ventricular functional overload that can lead to ventricular failure and thus to acute cor pulmonale. The condition is echocardiographically characterized by dilatation of the right ventricle...
متن کاملProne ventilation in acute respiratory distress syndrome.
Prone positioning has been used for many years in patients with acute lung injury (ALI)/acute respiratory distress syndrome (ARDS), with no clear benefit for patient outcome. Meta-analyses have suggested better survival in patients with an arterial oxygen tension (PaO2 )/inspiratory oxygen fraction (FIO2 ) ratio <100 mmHg. A recent randomised controlled trial was performed in ARDS patients afte...
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ژورنال
عنوان ژورنال: Respiratory Care
سال: 2011
ISSN: 0020-1324,1943-3654
DOI: 10.4187/respcare.01387