MECHANICAL VENTILATION-ARDS MANAGEMENT

From NeuroRehab.wiki

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].