High-Level Positive End Expiratory Pressure Management in the Surgical Patient With Acute Respiratory Distress Syndrome
| Autor: | Loren D. Nelson, Karen Safcsak |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Advanced and Specialized Nursing
Mechanical ventilation Respiratory Distress Syndrome ARDS medicine.medical_specialty Critical Care Respiratory distress Leadership and Management business.industry Incidence (epidemiology) medicine.medical_treatment Hemodynamics General Medicine medicine.disease Positive-Pressure Respiration Therapeutic approach Postoperative Complications Intensive care Breathing Humans Medicine business Intensive care medicine Care Planning Positive end-expiratory pressure |
| Zdroj: | AACN Clinical Issues: Advanced Practice in Acute and Critical Care. 7:482-494 |
| ISSN: | 1079-0713 |
| DOI: | 10.1097/00044067-199611000-00003 |
| Popis: | Although the exact incidence of ARDS is not know, it is frequently reported that there are 150,000 cases in the United States each year. Despite major advances in medical and respiratory intensive care, the mortality for patients with ARDS remains exceedingly high and has not changed appreciably from the 50% to 75% reported during the last 25 years. Currently there is no widespread, acceptable, specific therapeutic approach or agent available for the prevention or treatment of ARDS. Clinical management remains entirely supportive in nature. Although most practitioners agree that patients with severe ARDS require mechanical ventilation to maintain adequate gas exchange, controversies center on the amount of supplemental oxygen, level of positive end expiratory pressure (PEEP), and mode of ventilation needed to increase patient survival but reduce ventilator-associated complications. This review provides supportive evidence for the use of high-level PEEP (more than 15 cm H20) in the care of the surgical patient with severe ARDS. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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