Publication: Recent advances in mechanical ventilation in patients with acute respiratory distress syndrome
Issued Date
2015-01-01
Resource Type
ISSN
16000617
09059180
09059180
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2-s2.0-84923914858
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Mahidol University
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SCOPUS
Bibliographic Citation
European Respiratory Review. Vol.24, No.135 (2015), 132-140
Suggested Citation
Nuttapol Rittayamai, Laurent Brochard Recent advances in mechanical ventilation in patients with acute respiratory distress syndrome. European Respiratory Review. Vol.24, No.135 (2015), 132-140. doi:10.1183/09059180.00012414 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/36845
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Title
Recent advances in mechanical ventilation in patients with acute respiratory distress syndrome
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Abstract
©ERS 2015. Acute respiratory distress syndrome (ARDS) is characterised by different degrees of severity and different stages. Understanding these differences can help to better adapt the ventilatory settings to protect the lung from ventilator-induced lung injury by reducing hyperinflation or keeping the lung open when it is possible. The same therapies may be useful and beneficial in certain forms of ARDS, and risky or harmful at other stages: this includes high positive end-expiratory pressure, allowance of spontaneous breathing activity or use of noninvasive ventilation. The severity of the disease is the primary indicator to individualise treatment. Monitoring tools such as oesophageal pressure or lung volume measurements may also help to set the ventilator. At an earlier stage, an adequate lung protective strategy may also help to prevent the development of ARDS.