New strategies for mechanical ventilation. Lung protective ventilation.
Although research is ongoing, and there are no definitive data to mandate the final answer to the question of which ventilation strategies result in the most optimal outcomes, the consensus of clinicians today suggests that we limit FIO2 to nontoxic levels, limit ventilating pressures and volumes, and use PEEP levels adequate to recruit alveoli and prevent tidal collapse. The critical care nurse must remain vigilant in his or her review of current literature to maintain knowledge of the current recommendations for optimal MV strategies.
Wilmoth
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Porter Medical Intensive Care Unit, University of Virginia Health System, Charlottesville, USA.
D003422:Critical Care / Q000379:methods* / Q000639:trends; D006801:Humans; D011175:Positive-Pressure Respiration / Q000009:adverse effects* / Q000379:methods* / Q000451:nursing / Q000639:trends; D012128:Respiratory Distress Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000517:prevention & control*; D012131:Respiratory Insufficiency / Q000503:physiopathology / Q000628:therapy*; D013990:Tidal Volume