Open AccessProtective - ventilation strategy in the acute respiratory distress syndrome
Author(s) -
Z Vladimir Bumbasirevic,
V. Bukumirović,
Nikola Popović,
V.T. Nikolic,
K Nevena Kalezic,
G. Vlajković,
P Aleksandar Karamarkovic,
D Ana Sijacki,
Djordje Bajec,
Vitomir Ranković
Publication year - 2004
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci0403045b
Subject(s) - medicine , ards , mechanical ventilation , hypoxemia , acute respiratory distress , ventilation (architecture) , intensive care medicine , anesthesia , diffuse alveolar damage , positive end expiratory pressure , respiratory distress , lung , mechanical engineering , engineering
Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) contribute to progressive hypoxemia in critically ill patients. It has been proved that conventional mechanical ventilation with physiological respiratory volume contributes to further lung damage. In this respect, application of protective ventilatory strategy--pulmonary ventilation with limited volume and pressure can avoid mentioned consequences. The aim of this paper is to discuss mechanims by which elements contained in protective mechanical ventilation of patients with ALI/ARDS prevent further progrssive lung injury, to argue the effects of positive end--expiratory pressure and present insturctions for its application.