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VOLUME 1 , ISSUE 2 ( July-December, 2012 ) > List of Articles

REVIEW ARTICLE

Protective lung ventilation in Acute Respiratory Distress Syndrome: What is new?

Vandana Iyengar

Keywords : Acute respiratory distress syndrome, protective lung ventilation, positive end-expiratory pressure, recruitment manoeuvre

Citation Information : Iyengar V. Protective lung ventilation in Acute Respiratory Distress Syndrome: What is new?. Indian J Respir Care 2012; 1 (2):101-111.

DOI: 10.5005/ijrc-1-1-101

License: NA

Published Online: 01-12-2022

Copyright Statement:  NA


Abstract

Acute respiratory distress syndrome (ARDS) is associated with high mortality and morbidity. Traditional ventilation with large tidal volumes aimed at normalisation of blood gases is usually associated with significant injury to the lungs. Protective lung ventilation (PLV) with smaller tidal volumes, higher levels of positive end-expiratory pressure (PEEP) and control of plateau pressures is the accepted mode of ventilation in patients with ARDS. Recruitment manoeuvres have been part of the protocol in PLV. However, considerable controversy surrounds the optimal PEEP that may be applied to these patients. Similarly, there is no consensus on the usefulness of recruitment manoeuvres in these sick patients. This review tries to find some answers to the best way to use PLV, PEEP and recruitment manoeuvres in patients with ARDS.

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