Clinical review: Ventilatory strategies for obstetric, brain-injured and obese patients.
The ventilatory management of patients with acute respiratory failure is supported by good evidence, aiming to reduce lung injury by pressure limitation and reducing the duration of ventilatory support by regular assessment for discontinuation. Certain patient groups, however, due to their altered physiology or disease-specific complications, may require some variation in usual ventilatory management. The present manuscript reviews the ventilatory management in three special populations, namely the patient with brain injury, the pregnant patient and the morbidly obese patient.
Lapinsky
Stephen E
SE
Intensive Care Unit, Mount Sinai Hospital, 600 University Ave, Toronto, Ontario, M5G 1X5, Canada. stephen.lapinsky@utoronto.ca
Posadas-Calleja
Juan Gabriel
JG
McCullagh
Iain
I
D001930:Brain Injuries / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000503:physiopathology / Q000628:therapy*; D011247:Pregnancy; D012121:Respiration, Artificial / Q000379:methods*