Impact of Respiratory Rate and Dead Space in the Current Era of Lung Protective Mechanical Ventilation
| Autor: | Laurent Brochard, François Lellouche, Mathieu Delorme |
|---|---|
| Přispěvatelé: | Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Faculty of Medicine, Université Laval, Québec, QC, Canada., Equipe de Recherche Paramédicale sur le Handicap NeuroMoteur (ERPHAN), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Saclay, Interdepartmental Division of Critical Care Medicine, University of Toronto, Keenan Research Centre for Biomedical Science [Toronto, ON, Canada], Li Ka Shing Knowledge Institute [Toronto, ON, Canada]-St. Michael’s Hopsital [Toronto, ON, Canada] |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Critical Care Respiratory rate medicine.medical_treatment Dead space [SDV]Life Sciences [q-bio] Critical Care and Intensive Care Medicine 03 medical and health sciences MESH: Positive-Pressure Respiration 0302 clinical medicine Respiratory Rate Internal medicine Tidal Volume medicine Humans 030212 general & internal medicine Mechanical ventilation Lung MESH: Adult Respiratory Distress Syndrome Pulmonary Gas Exchange business.industry MESH: Ventilator-Induced Lung Injury Respiratory Dead Space Respiration Artificial 3. Good health medicine.anatomical_structure 030228 respiratory system Cardiology Current (fluid) Cardiology and Cardiovascular Medicine business |
| Zdroj: | Chest Chest, American College of Chest Physicians, 2020, 158 (1), pp.45-47. ⟨10.1016/j.chest.2020.02.033⟩ |
| ISSN: | 0012-3692 |
| DOI: | 10.1016/j.chest.2020.02.033⟩ |
| Popis: | International audience; Protective ventilation should potentially be applied in most or all patients undergoing invasive mechanical ventilation.1,2 Reduction of tidal volume (VT) has progressively been incorporated over the years.3 Protective ventilation is not limited to VT reduction, however, but needs a combination of ventilator settings and associated procedures.1,4 The progressive reduction of VT has necessitated to increase the respiratory rate (RR), but no clear recommendation for setting the rate exists. In addition, the impact of dead space, including instrumental dead space (VDinstr), became highly relevant. Reducing the VDinstr should be recommended as part of lung protective ventilation,4 especially for patients requiring VT ≤ 6 mL/kg of predicted body weight (PBW).5 In this report, we reviewed data from the literature of the last 20 years to try to offer some clues to physicians on the questions of rate setting and the impact of dead space. |
| Databáze: | OpenAIRE |
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