Advances in Ventilator Management for Patients with Acute Respiratory Distress Syndrome

被引:6
|
作者
Sklar, Michael C. [1 ,2 ,3 ]
Munshi, Laveena [1 ,4 ]
机构
[1] Univ Toronto, Interdept Div Crit Care Med, Toronto, ON, Canada
[2] St Michaels Hosp, Unity Hlth Toronto, Dept Anesthesiol & Pain Med, 6th Floor 30 Bond St, Toronto, ON 518, Canada
[3] Univ Toronto, Dept Anesthes & Pain Med, Toronto, ON, Canada
[4] Univ Toronto, Mt Sinai Hosp, Dept Med, Sinai Hlth Syst, 18 206 600 Univ Ave, Toronto, ON M5G1X5, Canada
关键词
ARDS; PEEP; Prone positioning; Neuromuscular blockers; END-EXPIRATORY PRESSURE; ACUTE LUNG INJURY; HIGH-FREQUENCY OSCILLATION; MECHANICAL VENTILATION; TRANSPULMONARY PRESSURE; TIDAL VOLUMES; ESOPHAGEAL PRESSURE; DRIVING PRESSURE; OXYGEN-THERAPY; ML/KG;
D O I
10.1016/j.ccm.2022.05.002
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
ARDS supportive care has evolved over the past few decades as our understanding of injurious interactions between the ventilator and the lung has improved. Increasingly, the heterogeneous nature of ARDS and individualized lung physiology has proven that a single ventilatory strategy (eg, PEEP, recruitment) is not generalizable to all patients. The future of ARDS ventilatory practice will center around more individualized treatment strategies and targets taking into consideration the subtype of ARDS and evolution of physiology over the course of the disease
引用
收藏
页码:499 / 509
页数:11
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