Ventilatory management of ARDS: high frequency oscillation and lung recruitment!
RM Kacmarek - Critical Care, 2006 - Springer
RM Kacmarek
Critical Care, 2006•SpringerMany aspects of ventilatory management in patients with ARDS are still controversial and
one of the major controversies is should HFO or CMV ideally be used to manage this
patients. As shown by David et al. when the two approaches to ventilatory support are
applied using similar principles the physiologic outcomes appear to be similar. With both
approaches the use of lung recruitment maneuvers early in ARDS (1 to 3 day) after
hemodynamic stabilization in patients without baratrauma is promising. The key to …
one of the major controversies is should HFO or CMV ideally be used to manage this
patients. As shown by David et al. when the two approaches to ventilatory support are
applied using similar principles the physiologic outcomes appear to be similar. With both
approaches the use of lung recruitment maneuvers early in ARDS (1 to 3 day) after
hemodynamic stabilization in patients without baratrauma is promising. The key to …
Abstract
Many aspects of ventilatory management in patients with ARDS are still controversial and one of the major controversies is should HFO or CMV ideally be used to manage this patients. As shown by David et al. when the two approaches to ventilatory support are applied using similar principles the physiologic outcomes appear to be similar. With both approaches the use of lung recruitment maneuvers early in ARDS (1 to 3 day) after hemodynamic stabilization in patients without baratrauma is promising. The key to managing ARDS regardless of mode is to use an open lung protective ventilatory strategy. It is not the mode that makes the difference, it is the approach used to apply the mode!
Springer
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