To treat acute respiratory distress syndrom: I prefer invasive mechanical ventilation

doi:10.3877/cma.j.issn.2096-1537.2016.04.010

Abstract

Abstract:

ARDS is an acute hypoxemic respiratory failure, which has a high morbidity and mortarlity rate among critically ill patients. The collapse of alveoli and an increased intrapulmonary shunt are prominent pathophysiology of ARDS.How to recruit the collapsed alveoli and decrease intrapulmonary shunt so as to improve oxygenation are the main targets of ARDS treatment. The use of low tidal volume ventilation, higher PEEP level, prone positioning and neuromuscular blocking agents in mechanical ventilated ARDS patients have been proved effective in decreasing ARDS mortality. So, we prefer to use invasive mechanical ventilation to treat ARDS.

Key words: Acute respiratory distress syndrom, Invasive mechanical ventilation, Positive end-expiratory pressure

Zhidan Zhang. To treat acute respiratory distress syndrom: I prefer invasive mechanical ventilation[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2016, 02(04): 269-272.

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