Lung protective ventilation strategy for the acute respiratory distress syndrome

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Lung protective ventilation strategy for the acute respiratory distress syndrome.

BACKGROUND Patients with acute respiratory distress syndrome and acute lung injury require mechanical ventilatory support. Acute respiratory distress syndrome and acute lung injury are further complicated by ventilator-induced lung injury. Lung protective ventilation strategies may lead to improved survival. This systematic review is an update of a Cochrane review originally published in 2003 a...

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Protective ventilation of patients with acute respiratory distress syndrome

The majority of patients with acute respiratory distress syndrome (ARDS) require mechanical ventilation. This support provides time for the lungs to heal, but the adverse effects of mechanical ventilation significantly influence patient outcome. Traditionally, these were ascribed to mechanical effects, such as haemodynamic compromise from decreased venous return or gross air leaks induced by la...

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Lung protection strategy as an effective treatment in acute respiratory distress syndrome

Lung protection strategy as an effective treatment in acute respiratory distress syndrome

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Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome.

BACKGROUND In patients with the acute respiratory distress syndrome, massive alveolar collapse and cyclic lung reopening and overdistention during mechanical ventilation may perpetuate alveolar injury. We determined whether a ventilatory strategy designed to minimize such lung injuries could reduce not only pulmonary complications but also mortality at 28 days in patients with the acute respira...

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Prone 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: Cochrane Database of Systematic Reviews

سال: 2013

ISSN: 1465-1858

DOI: 10.1002/14651858.cd003844.pub4