ACP Journal Club. Review: lower rather than higher tidal volume benefits ventilated patients without ARDS.
نویسنده
چکیده
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 ventilation, and durations of intensive care unit (ICU) and hospital stays.
منابع مشابه
Lower tidal volume at initiation of mechanical ventilation may reduce progression to acute respiratory distress syndrome: a systematic review
INTRODUCTION The most appropriate tidal volume in patients without acute respiratory distress syndrome (ARDS) is controversial and has not been rigorously examined. Our objective was to determine whether a mechanical ventilation strategy using lower tidal volume is associated with a decreased incidence of progression to ARDS when compared with a higher tidal volume strategy. METHODS A systema...
متن کاملSerum levels of N–terminal proB–type natriuretic peptide in mechanically ventilated critically ill patients – relation to tidal volume size and development of acute respiratory distress syndrome
BACKGROUND Serum levels of N-terminal proB-type natriuretic peptide (NT-proBNP) are elevated in patients acute respiratory distress syndrome (ARDS). Recent studies showed a lower incidence of acute cor pulmonale in ARDS patients ventilated with lower tidal volumes. Consequently, serum levels of NT-proBNP may be lower in these patients. We investigated the relation between serum levels of NT-pro...
متن کاملPReVENT - protective ventilation in patients without ARDS at start of ventilation: study protocol for a randomized controlled trial
BACKGROUND It is uncertain whether lung-protective mechanical ventilation using low tidal volumes should be used in all critically ill patients, irrespective of the presence of the acute respiratory distress syndrome (ARDS). A low tidal volume strategy includes use of higher respiratory rates, which could be associated with increased sedation needs, a higher incidence of delirium, and an increa...
متن کاملClinical Practice Guideline of Acute Respiratory Distress Syndrome
There is no well-stated practical guideline for mechanically ventilated patients with or without acute respiratory distress syndrome (ARDS). We generate strong (1) and weak (2) grade of recommendations based on high (A), moderate (B) and low (C) grade in the quality of evidence. In patients with ARDS, we recommend low tidal volume ventilation (1A) and prone position if it is not contraindicated...
متن کاملLung protective mechanical ventilation strategies in cardiothoracic critical care: a retrospective study
A body of evidence supports the use of low tidal volumes in ventilated patients without lung pathology to slow progress to acute respiratory distress syndrome (ARDS) due to ventilator associated lung injury. We undertook a retrospective chart review and tested the hypothesis that tidal volume is a predictor of mortality in cardiothoracic (medical and surgical) critical care patients receiving i...
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ورودعنوان ژورنال:
- Annals of internal medicine
دوره 158 6 شماره
صفحات -
تاریخ انتشار 2013