Mechanical ventilatory strategies are a vital component of ARDS management to prevent secondary lung injury and improve patient outcomes.

Usually, patients presenting to the ICU with ARDS are treated with mechanical ventilation and supportive therapies, since ARDS is not a particular disease, rather it is a clinical phenotype which may be triggered by various pathologies.

key study underpinning the protective lung ventilation approach, which has since been extended to the safe ventilation of non-ARDS patients provides a sliding scale approach to the optimisation of FiO2 and PEEP, based on oxygenation (though the optimisation of PEEP is controversial)

Jul 5, 2024 · A number of studies support the protective lung ventilation approach in settings such as: multiple transfusions; trauma; sepsis; high-risk surgery (including cardiac surgery) CONCLUSION. Protective lung ventilation should be used for mechanically ventilated patients with ARDS and those with risk factors for developing ARDS

Patients with acute respiratory distress syndrome and acute lung injury require mechanical ventilatory support. Acute respiratory distress syndrome and acute lung injury are further complicated by ventilator‐induced lung injury. Lung protective ventilation strategies may lead to improved survival.

Jun 16, 2015 · Lung protective low-tidal-volume ventilation, high PEEP and permissive hypercapnea are the key features of a successful approach. Though the evidence is not strong, use a Pressure Control mode. Use Lung-protective ventilation (low tidal volumes, 6ml/kg). Use open-lung ventilation: avoid derecruitment by selecting the optimum PEEP.

Jul 16, 2021 · In this review, we discuss the rationale for personalized approaches to mechanical ventilation for patients with ARDS, the role of lung imaging, phenotype identification, physiologically based individualized approaches to ventilation, and a future research agenda.

Acute respiratory distress syndrome (ARDS) is a form of lung injury that is associated with a high mortality. Mechanical ventilation and supportive therapies are the mainstays of treatment. The ventilator strategies used to treat ARDS are reviewed here.

Choosing the best mechanical-ventilation strategy for adults with acute respiratory distress syndrome (ARDS) is a complex problem. Current guidelines support the use of low V t, high positive end-expiratory pressure, and prone ventilation.

Rationale: Lung-protective ventilation (LPV) improves outcomes for patients with acute respiratory distress syndrome (ARDS), but adherence remains inadequate.