Published in:
01-12-2011 | Commentary
Short people got no reason: gender, height, and disparities in the management of acute lung injury
Authors:
Robert P Dickson, Robert C Hyzy
Published in:
Critical Care
|
Issue 6/2011
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Abstract
Though the benefits of lung protective ventilation (LPV) in acute lung injury/acute respiratory distress syndrome (ALI/ARDS) have been known for more than a decade, widespread clinical adoption has been slow. Han and colleagues demonstrate that women with ALI/ARDS are less likely than men to receive LPV, though this disparity resolves when the analysis is adjusted for patient height. This analysis identifies patient height as a significant factor in predicting provider adherence with LPV guidelines, and illuminates why some disparities in intensive care exist and how they may be resolved via improved utilization of evidence-driven protocols.