Analysis of invasive mechanical ventilation protocol in acute respiratory distress syndrome

doi:10.3877/cma.j.issn.2096-1537.2017.03.010

Abstract

Abstract:

Invasive mechanical ventilation is one of the important therapies in acute respiratory distress syndrome (ARDS). At present, the clinical management of invasive mechanical ventilation for ARDS is still not standardized. Standardization of the invasive mechanical ventilation protocol will be helpful to improve the effect of mechanical ventilation and reduce mortality in ARDS. In this study, we performed a standardized protocol of invasive mechanical ventilation in patients with ARDS including the choice of artificial airway and initial ventilator mode, low tidal volume of lung protective strategy, adjunctive and rescue strategies, methods of deal with the hypercapnia after low tidal volume ventilation and weaning from the invasive ventilation.

Key words: Acute respiratory distress syndrome, Invasive mechanical ventilation, Protocol

Ruiqiang Zheng, Qian Zhai, Bo Hu, Lina Zhang, Wenkui Yu, Xianghong Yang, Yun Long. Analysis of invasive mechanical ventilation protocol in acute respiratory distress syndrome[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2017, 03(03): 202-207.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://icu.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2096-1537.2017.03.010

https://icu.cma-cmc.com.cn/EN/Y2017/V03/I03/202

Figures/Tables 1

References 28

1	Wilson JG, Matthay MA. Mechanical ventilation in acute hypoxemic respiratory failure: a review of new strategies for the practicing hospitalist[J]. J Hosp Med, 2014, 9(7): 469-475.
2	邱海波. 急性呼吸窘迫综合征50年：中国与世界[J/OL]. 中华重症医学电子杂志, 2016, 2(4): 225-230.
3	ARDS Definition Task Force, Ranieri VM, Rubenfeld GD, et al. Acute respiratory distress syndrome: the Berlin definition[J]. JAMA, 2012, 307(23): 2526-2533.
4	Hollzapfel L, Chastang C, Demingeon C, et al. A randomized study assessing the systematic search for maxillary sinusitis in nasotracheally mechanically ventilated patients. Influence of nosocomial maxillary sinusitis on the occurrence of ventilator-associated pneumonia[J]. Am J Respir Crit Care Med, 1999, 159(4): 695-701.
5	郑瑞强, 林华, 卢年芳, 等. 鼻胃管对医院获得性鼻窦炎影响的临床研究. 现代预防医学, 2008, 35(24): 4883-4884.
6	Chacko B, Peter JV, Tharyan P, et al. Pressure-controlled versus volume-controlled ventilation for acute respiratory failure due to acute lung injury (ALI) or acute respiratory distress syndrome (ARDS)[J]. Cochrane Database Syst Rev, 2015, 1: CD008807.
7	Brower RG, Matthay MA, Morris A, et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network[J]. N Engl J Med, 2000, 342(18): 1301-1308.
8	Eisner MD, Thompson T, Hudson LD, et al. Efficacy of low tidal volume ventilation in patients with different clinical risk factors for acute lung injury and the acute respiratory distress syndrome[J]. Am J Respir Crit Care Med, 2001, 164(2): 231-236.
9	Umoh NJ, Fan E, Mendez-Tellez PA, et al. Patient and intensive care unit organizational factors associated with low tidal volume ventilation in acute lung injury[J]. Crit Care Med, 2008, 36(5): 1463-1468.
10	Needham DM, Colantuoni E, Mendez-Tellez PA, et al. Lung protective mechanical ventilation and two year survival in patients with acute lung injury: prospective cohort study[J]. BMJ, 2012, 344: e2124.
11	Serpa Neto A, Cardoso SO, Manetta JA, et al. Association between use of lung-protective ventilation with lower tidal volumes and clinical outcomes among patients without acute respiratory distress syndrome: a meta-analysis[J]. JAMA, 2012, 308(16): 1651-1659.
12	Tenney SM, Remmers JE. Comparative quantitative morphology of the mammalian lung: diffusing area[J]. Nature, 1963, 197: 54-56.
13	Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network[J]. N Engl J Med, 2000, 342(18): 1301-1308.
14	Lim S, Adams AB, Simonson DA, et al. Intercomparison of recruitment maneuver efficacy in three models of acute lung[J]. Crit Care Med, 2004, 32(12): 2371-2377.
15	Brower RG, Lanken PN, MacIntyre N, et al. Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome[J]. N Engl J Med, 2004, 351(4): 327-336.
16	Gattinoni L, Caroni P, Chiumello D, et al. Lung recruitment in patients with acute respiratory distress syndrome[J]. N Engl J Med, 2006, 354(17): 1775-1786.
17	Mercat A, Richard JC, Vielle B, et al. Positive end-expiratory pressure setting in adults with acute lung injury and acute respiratory distress syndrome: a randomized controlled trial[J]. JAMA, 2008, 299(6): 646-655.
18	Hess DR. Ventilatory strategies in severe acute respiratory failure[J]. Semin Respir Crit Care Med, 2014, 35(4): 418-430.
19	Guérin C, Reignier J, Richard J, et al. Prone positioning in severe acute respiratory distress syndrome[J]. N Engl J Med, 2013, 368(23): 2159-2168.
20	Beitler JR, Shaefi S, Montesi SB, et al. Prone positioning reduces mortality from acute respiratory distress syndrome in the low tidal volume era: a meta-analysis[J]. Intensive Care Med, 2014, 40(3): 332-341.
21	Sud S, Friedrich JO, Adhikari NK, et al. Effect of prone positioning during mechanical ventilation on mortality among patients with acute respiratory distress syndrome: a systematic review and meta-analysis[J]. CMAJ, 2014, 186(10): E381-E390.
22	Gainnier M, Roch A, Forel JM, et al. Effect of neuromuscular blocking agents on gas exchange in patients presenting with acute respiratory distress syndrome[J]. Crit Care Med, 2004, 32(1): 113-119.
23	Papazian L, Forel JM, Gacouin A, et al. Neuromuscular blockers in early acute respiratory distress syndrome[J]. N Engl J Med, 2010, 363(2): 1107-1116.
24	Alhazzani W, Alshahrani M, Jaeschke R, et al. Neuromuscular blocking agents in acute respiratory distress syndrome: a systematic review and meta-analysis of randomized controlled trials[J]. Crit Care, 2013, 17(2): R43.
25	Brodie D, Bacchetta M. Extracorporeal membrane oxygenation for ARDS in adults[J]. N Engl J Med, 2011, 365(20): 1905-1914.
26	Bein T, Weber-Carstens S, Goldmann A, et al. Lower tidal volume strategy (≈3 ml/kg) combined with extracorporeal CO2 removal versus ′conventional′ protective ventilation (6 ml/kg) in severe ARDS: the prospective randomized Xtravent-study[J]. Intensive Care Med, 2013, 39(5): 847-856.
27	Esteban A, Alía I, Tobin MJ, et al. Effect of spontaneous breathing trial duration on outcome of attempts to discontinue mechanical ventilation. Spanish Lung Failure Collaborative Group[J]. Am J Respir Crit Care Med, 1999, 159(2): 512-518.
28	MacIntyre NR, Cook DJ, Ely EW Jr, et al. Evidence-based guidelines for weaning and discontinuing ventilatory support: a collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine[J]. Chest, 2001, 120(Suppl 6): 375S-395S.

[1]	Chuanjie Yuan, Xue Yang, Yu Zhu. Current research status of clinical pharmaceutical treatment options for visceral Leishmaniasis [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2022, 18(04): 387-392.
[2]	Shuhan Zeng, Nannan Yu, Daojing Ying, Lizhi Chen, Liping Rong, Ying Mo, Xiaoyun Jiang. Comparison of different dosage reduction regimens in consolidation and maintenance stage of hormone therapy for children with primary steroid-sensitive nephrotic syndrome [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2022, 18(04): 468-475.
[3]	Lung Transplantation Study Group, Branch of Organ Transplantation of Chinese Medical Association;, National Lung Transplantation Quality Control Center. Selection of lung transplant candidates with COVID-19: Advises from China lung transplant expert group [J]. Chinese Journal of Transplantation(Electronic Edition), 2023, 17(01): 13-16.
[4]	Ting Luo, Shi Zhang. Prognostic analysis of 5 biomarkers for acute respiratory distress syndrome [J]. Chinese Journal of Lung Diseases(Electronic Edition), 2023, 16(04): 471-475.
[5]	Zongjun Hu, Xi Yue, Xia Huang. Effect of bronchopulmonary segments recruitment on the survival of patients with severe acute respiratory distress syndrome [J]. Chinese Journal of Lung Diseases(Electronic Edition), 2022, 15(06): 796-800.
[6]	Rui Chen, Hongna Yang, Wei Fang, Xinxin Li, Tiantian Li, Xiaoyi Yu, Yanxue Wang, Wenyu Li. Correlation between the cytokine levels in serum and BALF and intrapulmonary and extrapulmonary ARDS [J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2023, 09(03): 251-258.
[7]	Meiqing Wu, Jin Lin, Meili Duan, Xiaoyan Xue. Effect of high density lipoprotein level on the occurrence of sepsis-related acute respiratory distress syndrome [J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2023, 09(02): 191-197.
[8]	Shuai Liu, Shanshan Xu, Shuya Wang, Mengxue Hou, Mingyue Miao, Ying Tian, Linlin Zhang, Jianxin Zhou. Protocolized diagnosis and treatment for pain and agitation in critically ill adults [J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2023, 09(02): 135-142.
[9]	Chengfen Yin, Lei Xu. Talk about the timing of prone position ventilation again [J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2023, 09(01): 9-13.
[10]	Jingen Xia, Shiyu Hu. Application scenario of extracorporeal carbon dioxide removal technology in Intensive Care Unit [J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2023, 09(01): 40-45.
[11]	Jieqiong Wang, Huixia Wang, Huiying Zhao, Youzhong An. Regulation of angiotensin converting enzyme 2 on inflammatory injury of human pulmonary microvascular endothelial cells [J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2023, 09(01): 78-83.
[12]	Dongyu Chen, Chun Pan, Yi Yang. Techniques to monitor respiratory effort in acute respiratory distress syndrome [J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2023, 09(01): 84-88.
[13]	Yumei Wang, Yan Wang, Yimin Zhou, Mingyue Miao, Yanlin Yang, Linlin Zhang, Ming Xu, Jianxin Zhou. Application of regional recruitment-to-inflation ratio monitored by electrical impedance tomography in the models of acute respiratory distress syndrome [J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2022, 08(04): 360-366.
[14]	Chengfen Yin, Lei Xu. Settings of mechanical ventilation during V-V ECMO support in ARDS patients [J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2022, 08(04): 378-383.
[15]	Ruiyu Li, Lingyong Xiao, Yuexin Zhang, Zhiying Li, Xiaoyu Dai. An analysis of the idea construction and protocol design of acupuncture timing study for the treatment of limb dysfunction in cerebral infarction using Xingnao Kaiqiao acupuncture [J]. Chinese Journal of Acupuncture and Moxibustion(Electronic Edition), 2023, 12(04): 156-160.

Please choose a citation manager

Content to export