TITLE

Mechanical Ventilation of Patients With Acute Respiratory Distress Syndrome and Patients Requiring Weaning

AUTHOR(S)
Burns, Suzanne M.
PUB. DATE
August 2005
SOURCE
Critical Care Nurse;Aug2005, Vol. 25 Issue 4, p14
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
To achieve the best outcomes, we must have an in-depth understanding of the evidence related to appropriate use of mechanical ventilation in patients with ARDS and in patients who require weaning. We have learned much from studies conducted in such patients, yet many questions about how best to apply the therapy remain unanswered. Low-volume lung ventilation is associated with decreased mortality as applied in the ARDS Network's study. Until additional studies of other modes (pressure modes and high-frequency oscillation) indicate comparable outcomes, use of low-volume ventilation in patients with ARDS should be encouraged. Unfortunately, questions still abound related to how we might best recruit the lungs and keep them open (eg, optimal levels of PEEP, prone positioning). In the area of weaning, evidence indicates that it is not the mode used but rather the method, specifically the use of protocols, that results in improved clinical outcomes. Further, outcomes are likely to be improved by multidisciplinary system initiatives that provide systematic evidence-based care.
ACCESSION #
17610968

 

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