Mechanical Ventilation for ARDS Patients – For a Better Understanding of the 2012 Surviving Sepsis Campaign Guidelines

Author(s): Muneyuki Takeuchi, Kazuya Tachibana.

Journal Name: Cardiovascular & Hematological Disorders-Drug Targets
(Formerly Current Drug Targets - Cardiovascular & Hematological Disorders)

Volume 15 , Issue 1 , 2015

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Abstract:

The mortality rate among patients suffering acute respiratory distress syndrome (ARDS) remains high despite implementation at clinical centers of the lung protective ventilatory strategies recommended by the International Guidelines for Management of Severe Sepsis and Septic Shock, 2012. This suggests that such strategies are still sub-optimal for some ARDS patients. For these patients, tailored use of ventilator settings should be considered, including: further reduction of tidal volumes, administration of neuromuscular blocking agents if the patient’s spontaneous breathing is incompatible with mechanical ventilation, and adjusting positive end-expiratory pressure (PEEP) settings based on transpulmonary pressure levels.

Keywords: ARDS, transpulmonary pressure, lung protective strategy, strain.

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Article Details

VOLUME: 15
ISSUE: 1
Year: 2015
Page: [41 - 45]
Pages: 5
DOI: 10.2174/1871529X15666150108113853

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