Tidal Volume Lower than 6 ml/kg Enhances Lung Protection

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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...

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Smaller 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...

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ACP Journal Club. Review: lower rather than higher tidal volume benefits ventilated patients without ARDS.

Review scope Included studies compared protective ventilation (lower VT) with conventional ventilation (higher VT) in patients who did not meet the consensus criteria for ARDS or acute lung injury and reported on the outcomes of interest, including lung injury {as defined by individual studies, but usually development of acute lung injury}*, mortality, pulmonary infection, atelectasis, time on ...

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Lung protection: an intervention for tidal volume reduction in a teaching intensive care unit

Objective: To determine the effect of feedback and education regarding the use of predicted body weight to adjust tidal volume in a lung-protective mechanical ventilation strategy. Methods: The study was performed from October 2014 to November 2015 (12 months) in a single university polyvalent intensive care unit. We developed a combined intervention (education and feedback), placing particul...

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Effects of Lower Tidal Volume on Ventilator-Induced Diaphragmatic Dysfunction

1Department of pediatrics, Chonnam National University Medical School and Hospital, Republic of Korea 2College of Veterinary Medicine, Chonbuk National University, Republic of Korea 3National Institute of Animal Science, Republic of Korea 4Department of Pediatrics, KS hospital, Republic of Korea 5Institute of Animal Medicine, Gyeongsang National University, Republic of Korea 6Department of Thor...

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ژورنال

عنوان ژورنال: Anesthesiology

سال: 2009

ISSN: 0003-3022

DOI: 10.1097/aln.0b013e3181b764d2