Benefits of lung-protective ventilation: looking beyond the ICU
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چکیده
منابع مشابه
Benefits of lung-protective ventilation: looking beyond the ICU
Methods Objective: The aim of the study was to determine whether lung-protective ventilation improves outcomes in anesthetized patients undergoing major abdominal surgery. Design: The Intraoperative Protective Ventilation (IMPROVE) trial is a multicenter, open-label double-blind, parallel-group randomized control trial in seven French university hospitals. Setting: The IMPROVE study enrolled 40...
متن کاملLung protective ventilation in the intraoperative period.
To the Editor: We read with interest the article titled “A Description of Intraoperative Ventilator Management in Patients with Acute Lung Injury and the Use of Lung Protective Ventilation Strategies.” It was also discussed in detail during our journal club as part of the departmental training program. The concept and the idea behind the article are very interesting and thought-provoking and we...
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provided the original work is properly cited. CC Hypoxemia and acute lung injury (ALI) are major concerns with one-lung ventilation (OLV) during thoracic surgery. Hypoxemia is usually the result of alveolar hypoventilation and an increasing shunt fraction, whereas ALI is caused by ventilatory stress (volutrauma, atelectrauma, and barotrauma), reexpansion pulmonary injury, and the lung surgery i...
متن کاملAre there benefits or harm from pressure targeting during lung-protective ventilation?
Mechanically, breath design is usually either flow/volume-targeted or pressure-targeted. Both approaches can effectively provide lung-protective ventilation, but they prioritize different ventilation parameters, so their responses to changing respiratory-system mechanics and patient effort are different. These different response behaviors have advantages and disadvantages that can be important ...
متن کاملLung protective ventilation in Cardiac Surgery
Multicenter, randomized, controlled trials and meta-analyses have demonstrated that, during abdominal surgery, protective ventilation, based on low tidal volumes, positive end-expiratory pressure, and recruitment maneuvers improves postoperative outcomes (1). Protective ventilation strategies are aimed at preventing alveolar over-distension, cyclic opening and closure of peripheral airways, tra...
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ژورنال
عنوان ژورنال: Critical Care
سال: 2014
ISSN: 1364-8535
DOI: 10.1186/s13054-014-0530-0