Published in:
01-12-2014 | What's New in Intensive Care
How to manage ventilation in pediatric acute respiratory distress syndrome?
Authors:
Martin C. J. Kneyber, Philippe A. Jouvet, Peter C. Rimensberger
Published in:
Intensive Care Medicine
|
Issue 12/2014
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Excerpt
Mechanical ventilation (MV) is essential for children with acute respiratory distress syndrome (ARDS). However, it may also contribute to lung inflammation and injury via ventilator-induced lung injury (VILI) [
1]. Barotrauma, volutrauma due to alveolar overdistension, and atelectrauma following ventilation at low lung volumes all contribute to VILI. Understanding these mechanisms has resulted in lung protective ventilation strategies including pressure limitation, delivery of low tidal volume (
V t), and application of positive end-expiratory pressure (PEEP) in adults with ARDS. …