Lung protective strategy in acute respiratory distress syndrome:current status and new understanding
10.3760/cma.j.issn.2095-428X.2016.18.006
- VernacularTitle:急性呼吸窘迫综合征的肺保护性通气治疗现状和再认识
- Author:
Wenliang YU
- Publication Type:Journal Article
- Keywords:
Acute respiratory distress syndrome;
Lung protective strategy;
Stress;
Strain
- From:
Chinese Journal of Applied Clinical Pediatrics
2016;31(18):1381-1383
- CountryChina
- Language:Chinese
-
Abstract:
For the last 20 years,lung protective strategy which comprises of low tidal volume,higher positive end expiratory pressure,and limited plateau pressure has become a standard care for acute respiratory distress syndrome (ARDS),but still do not know the best way to ventilate patients with ARDS.This article reviews clinical trials related to lung protective strategy published in recent years and give some suggestions in optimal mechanical ventilation.In addition,the article also introduces some concept of ventilator related lung injury and new understanding in lung protective strategy using stress and strain theory.