Mechanical Ventilation for ARDS Patients – For a Better Understanding of the 2012 Surviving Sepsis Campaign Guidelines
| Autor: | Muneyuki Takeuchi, Kazuya Tachibana |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
ARDS Surviving Sepsis Campaign medicine.medical_treatment Article transpulmonary pressure Positive-Pressure Respiration lung protective strategy strain Sepsis Tidal Volume Animals Humans Medicine Intensive care medicine Pharmacology Mechanical ventilation Respiratory Distress Syndrome Lung business.industry Septic shock Mortality rate Hematology General Medicine medicine.disease Respiration Artificial medicine.anatomical_structure Practice Guidelines as Topic Breathing Molecular Medicine Cardiology and Cardiovascular Medicine business Transpulmonary pressure |
| Zdroj: | Cardiovascular & Hematological Disorders Drug Targets |
| ISSN: | 1871-529X |
| DOI: | 10.2174/1871529x15666150108113853 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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