MECHANICAL VENTILATION-ARDS MANAGEMENT
SUMMARY
1. Limit TV: 6 ml/kg or limit ventilatory pressure of less than 30 cmH2O
2. Prone positioning: < 12 hours/day, early in the stage of ARDS has shown benefit in redistributing oedema & optimally ventilate the less damaged lungs
3. High frequency oscillatory ventilation: more beneficial in children
4. Recruitment maneuvers: shown to increase risk of lung trauma & cardiovascular compromise
Reference(s)
JAMA. 2018;319(7):698-710
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].
