•  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 – High-pressure injury to alveoli, which can lead to pneumothorax, pneumomediastinum and subcutaneous emphysemao
    • Volutrauma – Damage to the alveoli due to overdistension o
    • Atelectrauma – Shearing forces due to repeated collapse and expansion of alveoli)
    • Biotrauma – The translocation of inflammatory mediators, bacteria, or lipopolysaccharide26 from the airspaces into the systemic circulation
    • Oxygen Toxicity
  • Lung protective ventilation aims to reduce the effects of these