Abstract |
A key element in the treatment of Adult Respiratory Distress Syndrome (ARDS) is improvement in oxygen delivery to match metabolic demands. Conventional modes of ventilation have decreased mortality (50%) very little. We have done a retrospective analysis of 30 surgical patients who were treated with pressure-controlled inverse ratio ventilation. Mortality was 10%. Arterial oxygenation improved from 40.8 +/- 12.2 mm Hg to 138 +/- 47.2 mm Hg, while PCO2 decreased from 37.8 +/- 7.6 mm Hg to 31.1 +/- 5.9 mm Hg. Simultaneously, with the use of pressure-controlled inverse ratio ventilation, minute ventilation could be decreased by 30%, which may be secondary to increased O2 delivery to the tissue. Our data indicate that pressure-controlled inverse ratio ventilation may be beneficial to surgical patients with ARDS.
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Authors | P J Papadakos, W Halloran, J I Hessney, N Lund, D V Feliciano |
Journal | The Journal of trauma
(J Trauma)
Vol. 31
Issue 9
Pg. 1211-4; discussion 1214-5
(Sep 1991)
ISSN: 0022-5282 [Print] United States |
PMID | 1920550
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Female
- Humans
- Intensive Care Units
- Male
- Middle Aged
- Postoperative Period
- Pressure
- Respiration, Artificial
- Respiratory Distress Syndrome
(therapy)
- Retrospective Studies
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