From low-tidal-volume ventilation to lowest-tidal-volume ventilation

Intraoperative low-tidal-volume ventilation.

Low Tidal Volume Ventilation: Trust but Verify.

Despite affecting an estimated 4 –7% of patients in the ICU and having a high mortality rate, there are currently a limited number of therapeutic options to treat patients with ARDS.1,2 ARMA, the landmark ARDSnet trial in 2000, established the concept of lungprotective ventilation, where subjects with ARDS receiving mechanical ventilation were randomly assigned to a set tidal volume (VT) of eit...

Low-tidal-volume ventilation in the acute respiratory distress syndrome.

Copyright © 2007 Massachusetts Medical Society. A 55-year-old man who is 178 cm tall and weighs 95 kg is hospitalized with community-acquired pneumonia and progressively severe dyspnea. His arterial oxygen saturation while breathing 100% oxygen through a face mask is 76%; a chest radiograph shows diffuse alveolar infiltrates with air bronchograms. He is intubated and receives mechanical ventila...

Tidal hyperinflation during low tidal volume ventilation in acute respiratory distress syndrome.

RATIONALE Tidal volume and plateau pressure limitation decreases mortality in acute respiratory distress syndrome. Computed tomography demonstrated a small, normally aerated compartment on the top of poorly aerated and nonaerated compartments that may be hyperinflated by tidal inflation. OBJECTIVES We hypothesized that despite tidal volume and plateau pressure limitation, patients with a larg...

High-frequency percussive ventilation and low tidal volume ventilation in burns: a randomized controlled trial.

OBJECTIVES In select burn intensive care units, high-frequency percussive ventilation is preferentially used to provide mechanical ventilation in support of patients with acute lung injury, acute respiratory distress syndrome, and inhalation injury. However, we found an absence of prospective studies comparing high-frequency percussive ventilation with contemporary low-tidal volume ventilation ...