Lower tidal volume strategy (≈3 ml/kg) combined with extracorporeal CO2 removal versus ‘conventional’ protective ventilation (6 ml/kg) in severe ARDS
نویسندگان
چکیده
منابع مشابه
Tidal volume lower than 6 ml/kg enhances lung protection: role of extracorporeal carbon dioxide removal.
BACKGROUND Tidal hyperinflation may occur in patients with acute respiratory distress syndrome who are ventilated with a tidal volume (VT) of 6 ml/kg of predicted body weight develop a plateau pressure (PPLAT) of 28 < or = PPLAT < or = 30 cm H2O. The authors verified whether VT lower than 6 ml/kg may enhance lung protection and that consequent respiratory acidosis may be managed by extracorpore...
متن کاملSmaller Tidal Volumes Improve ARDS Tidal Volume Lower Than 6 mL/kg Enhances Lung Protection: Role of Extracorporeal Carbon Dioxide Removal
Background: ARDSnet data reaffirm the practice of limiting tidal volume in patients with lung injury to 6 to 8 mL/kg of predicted body weight and limiting plateau pressures to avoid additional lung injury and excess mortality. Objective: To determine whether tidal volume <6 mL/kg is protective to the lungs and whether consequent respiratory acidosis can be managed by extracorporeal carbon dioxi...
متن کاملUpdate on the role of extracorporeal CO2 removal as an adjunct to mechanical ventilation in ARDS
This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2015 and co-published as a series in Critical Care. Other articles in the series can be found online at http://ccforum.com/series/annualupdate2015. Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901.
متن کاملChallenges encountered in employing a low tidal volume ventilation strategy in patients at risk of ARDS
Introduction Ventilator strategies that use tidal volumes (TVs) limited to 6 ml/kg IBW (ideal body weight) have been shown to reduce mortality in patients with ARDS (acute respiratory distress syndrome). [1] It is suggested that using these same low tidal volumes in other critically ill patients may reduce the progression to ARDS. [2,3] An initial audit in the ICU at University Hospital Lewisha...
متن کاملLow-frequency positive-pressure ventilation with extracorporeal CO2 removal in severe acute respiratory failure.
Forty-three patients were entered in an uncontrolled study designed to evaluate extracorporeal membrane lung support in severe acute respiratory failure of parenchymal origin. Most of the metabolic carbon dioxide production was cleared through a low-flow venovenous bypass. To avoid lung injury from conventional mechanical ventilation, the lungs were kept "at rest" (three to five breaths per min...
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ژورنال
عنوان ژورنال: Intensive Care Medicine
سال: 2013
ISSN: 0342-4642,1432-1238
DOI: 10.1007/s00134-012-2787-6