Published in:
01-03-2014 | Editorial
Should mechanical ventilation care be centralized and should we thus transfer all ventilated patients to high volume units? Take a breath first
Authors:
Marcus J. Schultz, Peter E. Spronk
Published in:
Intensive Care Medicine
|
Issue 3/2014
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Excerpt
For years, many critical care physicians considered mechanical ventilation as an easy and harmless intervention in intensive care unit (ICU) patients. Nowadays, preclinical and clinical researchers and critical care physicians increasingly appreciate the potential harmful effects of ventilation, in both patients with the acute respiratory distress syndrome (ARDS) [
1] and those with uninjured lungs [
2]. Ventilation turns out to be everything but safe, as it can cause so-called ‘ventilator-induced lung injury’ (VILI) [
3] and ‘ventilator-induced diaphragm dysfunction’ (VIDD) [
4]. Mitigating this harm is far from simple. It requires skill, which like all skills improves with experience. …