Non-conventional mechanical ventilation in severe ARDS, illustrated by a complicated case.
When conventional respiratory strategies fail to maintain adequate oxygenation treatment of severe ARDS is largely empirical. Modern techniques such as inverse ratio ventilation, permissive hypercapnia, NO inhalation and lowering tidal volumes/pressures are advocated. We report on a patient with severe ARDS who showed all the complications of the disease. The risks and benefits of (non)conventional ventilatory strategies are discussed and illustrated.
Tulleken
J E
JE
Department of Internal Medicine, Groningen University Hospital, The Netherlands. tulleken@int.azg.nl
van der Werf
T S
TS
Ligtenberg
J J
JJ
Zijlstra
J G
JG
D000208:Acute Disease; D000280:Administration, Inhalation; D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009569:Nitric Oxide / Q000008:administration & dosage; D012121:Respiration, Artificial / Q000379:methods; D012128:Respiratory Distress Syndrome / Q000628:therapy*
D009569:Nitric Oxide