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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