Ventilation in acute respiratory distress. Lung-protective strategies

Ventilation of patients suffering from acute respiratory distress syndrome (ARDS) with protective ventilator settings is the standard in patient care. Besides the reduction of tidal volumes, the adjustment of a case-related positive end-expiratory pressure and preservation of spontaneous breathing a...

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Published in:Medizinische Klinik, Intensivmedizin und Notfallmedizin Intensivmedizin und Notfallmedizin, 2012-11, Vol.107 (8), p.596-602
Main Authors: Bruells, C S, Rossaint, R, Dembinski, R
Format: Article
Language:ger
Subjects:
Air Pressure
Critical Care - methods
Evidence-Based Medicine
Humans
Positive-Pressure Respiration - methods
Pulmonary Alveoli - physiopathology
Pulmonary Gas Exchange - physiology
Respiratory Distress Syndrome, Adult - mortality
Respiratory Distress Syndrome, Adult - therapy
Respiratory Paralysis - mortality
Respiratory Paralysis - physiopathology
Respiratory Paralysis - therapy
Risk Factors
Tidal Volume - physiology
Ventilator-Induced Lung Injury - mortality
Ventilator-Induced Lung Injury - physiopathology
Ventilator-Induced Lung Injury - prevention & control
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container_title Medizinische Klinik, Intensivmedizin und Notfallmedizin
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creator Bruells, C S
Rossaint, R
Dembinski, R
description Ventilation of patients suffering from acute respiratory distress syndrome (ARDS) with protective ventilator settings is the standard in patient care. Besides the reduction of tidal volumes, the adjustment of a case-related positive end-expiratory pressure and preservation of spontaneous breathing activity at least 48 h after onset is part of this strategy. Bedside techniques have been developed to adapt ventilatory settings to the individual patient and the different stages of ARDS. This article reviews the pathophysiology of ARDS and ventilator-induced lung injury and presents current evidence-based strategies for ventilator settings in ARDS.
doi_str_mv 10.1007/s00063-012-0130-1
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source Springer Nature
subjects Air Pressure
Critical Care - methods
Evidence-Based Medicine
Humans
Positive-Pressure Respiration - methods
Pulmonary Alveoli - physiopathology
Pulmonary Gas Exchange - physiology
Respiratory Distress Syndrome, Adult - mortality
Respiratory Distress Syndrome, Adult - therapy
Respiratory Paralysis - mortality
Respiratory Paralysis - physiopathology
Respiratory Paralysis - therapy
Risk Factors
Tidal Volume - physiology
Ventilator-Induced Lung Injury - mortality
Ventilator-Induced Lung Injury - physiopathology
Ventilator-Induced Lung Injury - prevention & control
title Ventilation in acute respiratory distress. Lung-protective strategies
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