Low Tidal Volume Ventilation in Patients without Acute Respiratory Distress Syndrome: A Paradigm Shift in Mechanical Ventilation
Protective ventilation with low tidal volume has been shown to reduce morbidity and mortality in patients suffering from acute lung injury (ALI) and acute respiratory distress syndrome (ARDS). Low tidal volume ventilation is associated with particular clinical challenges and is therefore often under...
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Language: | English |
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Wiley
2012-01-01
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Series: | Critical Care Research and Practice |
Online Access: | http://dx.doi.org/10.1155/2012/416862 |
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author | Jed Lipes Azadeh Bojmehrani Francois Lellouche |
author_facet | Jed Lipes Azadeh Bojmehrani Francois Lellouche |
author_sort | Jed Lipes |
collection | DOAJ |
description | Protective ventilation with low tidal volume has been shown to reduce morbidity and mortality in patients suffering from acute lung injury (ALI) and acute respiratory distress syndrome (ARDS). Low tidal volume ventilation is associated with particular clinical challenges and is therefore often underutilized as a therapeutic option in clinical practice. Despite some potential difficulties, data have been published examining the application of protective ventilation in patients without lung injury. We will briefly review the physiologic rationale for low tidal volume ventilation and explore the current evidence for protective ventilation in patients without lung injury. In addition, we will explore some of the potential reasons for its underuse and provide strategies to overcome some of the associated clinical challenges. |
format | Article |
id | doaj-art-9ffc5538a8c542cdb22c6470a7b1ded0 |
institution | Kabale University |
issn | 2090-1305 2090-1313 |
language | English |
publishDate | 2012-01-01 |
publisher | Wiley |
record_format | Article |
series | Critical Care Research and Practice |
spelling | doaj-art-9ffc5538a8c542cdb22c6470a7b1ded02025-02-03T01:09:35ZengWileyCritical Care Research and Practice2090-13052090-13132012-01-01201210.1155/2012/416862416862Low Tidal Volume Ventilation in Patients without Acute Respiratory Distress Syndrome: A Paradigm Shift in Mechanical VentilationJed Lipes0Azadeh Bojmehrani1Francois Lellouche2Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Université Laval, Quebec, QC, G1V 4G5, CanadaCentre de Recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Université Laval, Quebec, QC, G1V 4G5, CanadaCentre de Recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Université Laval, Quebec, QC, G1V 4G5, CanadaProtective ventilation with low tidal volume has been shown to reduce morbidity and mortality in patients suffering from acute lung injury (ALI) and acute respiratory distress syndrome (ARDS). Low tidal volume ventilation is associated with particular clinical challenges and is therefore often underutilized as a therapeutic option in clinical practice. Despite some potential difficulties, data have been published examining the application of protective ventilation in patients without lung injury. We will briefly review the physiologic rationale for low tidal volume ventilation and explore the current evidence for protective ventilation in patients without lung injury. In addition, we will explore some of the potential reasons for its underuse and provide strategies to overcome some of the associated clinical challenges.http://dx.doi.org/10.1155/2012/416862 |
spellingShingle | Jed Lipes Azadeh Bojmehrani Francois Lellouche Low Tidal Volume Ventilation in Patients without Acute Respiratory Distress Syndrome: A Paradigm Shift in Mechanical Ventilation Critical Care Research and Practice |
title | Low Tidal Volume Ventilation in Patients without Acute Respiratory Distress Syndrome: A Paradigm Shift in Mechanical Ventilation |
title_full | Low Tidal Volume Ventilation in Patients without Acute Respiratory Distress Syndrome: A Paradigm Shift in Mechanical Ventilation |
title_fullStr | Low Tidal Volume Ventilation in Patients without Acute Respiratory Distress Syndrome: A Paradigm Shift in Mechanical Ventilation |
title_full_unstemmed | Low Tidal Volume Ventilation in Patients without Acute Respiratory Distress Syndrome: A Paradigm Shift in Mechanical Ventilation |
title_short | Low Tidal Volume Ventilation in Patients without Acute Respiratory Distress Syndrome: A Paradigm Shift in Mechanical Ventilation |
title_sort | low tidal volume ventilation in patients without acute respiratory distress syndrome a paradigm shift in mechanical ventilation |
url | http://dx.doi.org/10.1155/2012/416862 |
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