Abstract | PURPOSE OF REVIEW: RECENT FINDINGS: There has been a paradigm shift from treating ARDS to preventing ARDS. In surgical patients, anesthesiologists should consider ventilating patients with a tidal volume of 6-8 ml/kg predicted body weight (PBW), levels of positive end-expiratory pressure (PEEP) between 0 and 2 cmH(2)O, and higher levels of FiO(2). Finally, in critically ill patients without ARDS, intensive care physicians could consider ventilating with a PEEP level of 5 cmH(2)O and lower levels of FiO(2). There is insufficient evidence for the benefit of lower tidal volumes in these patients. There is, however, some evidence that tidal volumes of 6 ml/kg PBW or less are associated with better outcomes. SUMMARY:
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Authors | Ary Serpa Neto, Fabienne D Simonis, Marcus J Schultz |
Journal | Current opinion in critical care
(Curr Opin Crit Care)
Vol. 21
Issue 1
Pg. 65-73
(Feb 2015)
ISSN: 1531-7072 [Electronic] United States |
PMID | 25501019
(Publication Type: Journal Article, Review)
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Topics |
- Body Weight
- Critical Illness
- Humans
- Respiration, Artificial
(methods)
- Respiratory Distress Syndrome
(prevention & control, therapy)
- Respiratory Insufficiency
(therapy)
- Tidal Volume
- Ventilator-Induced Lung Injury
(prevention & control)
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