A method of ventilation which has become the routine in all ICU patients The core principles of lung-protective ventilation are: Low Tidal Volumes (Vt) Low Driving Pressure Use of PEEP Permissive Hypercapnia Avoidance of Hyperoxia 5-7ml/kg ideal body weight...
The ‘Open Lung’ ventilation strategy aims to optimize effective lung volume by recruiting and stabilizing unstable lung units and by ventilating by the principles of lung-protective ventilation It includes the use of: High PEEP Recruitment manoeuvres Aims...
Ultimately, despite much research, the best method to set PEEP in patients with ARDS remains uncertain Several approaches have been suggested each with their own merits and problems: Method Adjust according to FiO2 Lower Inflection point Maximal Static Compliance CT...
Method Prolonged Continuous Positive Pressure Staircase Manoeuvre Use of ‘Sighs’ Steps Period of continuous high pressure via the ventilatorExample: 40cm H20 for 40 seconds often used Stepped increase in PEEP with the maintenance of normal driving...
