Low-Tidal-Volume Ventilation in the Acute Respiratory Distress Syndrome
نویسندگان
چکیده
منابع مشابه
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...
متن کاملTidal 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...
متن کاملBarriers to low tidal volume ventilation in acute respiratory distress syndrome: survey development, validation, and results.
OBJECTIVE To evaluate perceived attitudes, knowledge, and behaviors regarding the use of low tidal volume ventilation in acute respiratory distress syndrome among physicians, nurses, and respiratory therapists in intensive care units. DESIGN Cross-sectional, self-administered survey. SETTING Large Acute Respiratory Distress Syndrome Network teaching hospital in Baltimore, MD. PARTICIPANTS...
متن کاملLow Tidal Volume Ventilation in Patients without Acute Respiratory Distress Syndrome: A Paradigm Shift in Mechanical Ventilation
Protective ventilation with low tidal volume has been shown to reduce morbidity and mortality in patients suffering from acute lung injury (ALI) and acute respiratory distress syndrome (ARDS). Low tidal volume ventilation is associated with particular clinical challenges and is therefore often underutilized as a therapeutic option in clinical practice. Despite some potential difficulties, data ...
متن کاملVery Low Tidal Volume Ventilation with Associated Hypercapnia - Effects on Lung Injury in a Model for Acute Respiratory Distress Syndrome
BACKGROUND Ventilation using low tidal volumes with permission of hypercapnia is recommended to protect the lung in acute respiratory distress syndrome. However, the most lung protective tidal volume in association with hypercapnia is unknown. The aim of this study was to assess the effects of different tidal volumes with associated hypercapnia on lung injury and gas exchange in a model for acu...
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ژورنال
عنوان ژورنال: New England Journal of Medicine
سال: 2007
ISSN: 0028-4793,1533-4406
DOI: 10.1056/nejmct074213