Mechanical ventilation is now known to be harmful to the lungs – known as ventilator-induced lung injury (VILI) Can potentiate lung and non-pulmonary organ failure May lead to an increase in mortality Mechanisms leading to VILI include: Barotrauma –...
FICM / ICSView Guideline ATS / ESICMView Guideline Recommendation Recommends the routine use of lower tidal volumes for the management of patients with ARDS (Strong recommendation) Recommends the routine use of ventilation with tidal volumes limited to 4-8ml/kg PBW...
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...