Customization of an Open-Lung Ventilation Strategy to Treat a Case of Life-Threatening Acute Respiratory Distress Syndrome.
The ARDS Network low-tidal-volume protocol is considered the standard of care for patients with acute lung injury (ALI) or acute respiratory distress syndrome (ARDS). The protocol is built on the foundation of low-tidal-volume ventilation, use of a combined PEEP and FIO2 table, and managing alveolar...
| Publicado en: | Respiratory Care Vol. 56; no. 4; pp. 514 - 520 |
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| Autores principales: | , , , , |
| Formato: | algorithm case study equations & formulas tracings Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Apr2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104869267&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104869267 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Apr2011 vid: 56 iid: 4 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 104869267 59925190 10.4187/respcare.00867 NLM21255504 104869267 ppf: 514 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Customization of an Open-Lung Ventilation Strategy to Treat a Case of Life-Threatening Acute Respiratory Distress Syndrome. aug: au: Grooms, David A. Sibole, Stephen H. Tomlinson, James R. Marik, Paul E. Chatburn, Robert L. affil: Sentara Norfolk General Hospital, Sentara Healthcare System, Norfolk, Virginia. sug: subj: Respiratory Distress Syndrome, Acute Therapy Respiration, Artificial Methods Waveforms Positive End-Expiratory Pressure Ohio Adult Female Pneumonia, Aspiration Body Weight Evaluation Intensive Care Units Airway Pressure Adult: 19-44 years Female ab: The ARDS Network low-tidal-volume protocol is considered the standard of care for patients with acute lung injury (ALI) or acute respiratory distress syndrome (ARDS). The protocol is built on the foundation of low-tidal-volume ventilation, use of a combined PEEP and FIO2 table, and managing alveolar end-inspiratory pressure by limiting the plateau airway pressure to < 30 cm H2O. Although this strategy, to date, is the only method that significantly improves ALI/ARDS survival, alternative methods of improving hypoxemia and minimizing ventilator-induced lung injury, in conjunction with low-tidal-volume ventilation, can be used for life-threatening ARDS. We present a case in which we customized the use of alveolar recruitment maneuvers by analyzing the hysteresis of the pressure-volume curve to assess lung recruitability, decremental PEEP to sustain lung recruitment, and careful use of plateau pressure > 30 cm H2O, which improved our patient's life-threatening hypoxemia within the first 36 min of arrival to our ICU. pubtype: Academic Journal doctype: algorithm case study equations & formulas tracings Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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