title: Lung-protective ventilation strategies and adjunctive treatments for the emergency medicine patient with acute respiratory failure.
abstract: Respiratory failure is a frequent disease process encountered in the emergency department. There is significant need for improvement in the care of patients on mechanical ventilation. If not contraindicated, lung-protective ventilation strategies should be used. It is important to consider pathophysiology (shunting, dead space ventilation, and low venous admixture) when formulating treatment strategies in patients who are difficult to oxygenate or ventilate or when Pao2, Paco2, and pH can only be maintained at unsafe ventilator settings.
authors.affiliation: Department of Emergency Medicine, Stony Brook University School of Medicine, 101 Nicolls Road, Stony Brook, NY 11794, USA; Department of Surgery, Stony Brook University School of Medicine, 101 Nicolls Road, Stony Brook, NY 11794, USA. Electronic address: brianjwright1@gmail.com.
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Wright
mesh_terms: D000465:Algorithms; D003422:Critical Care / Q000379:methods*; D004636:Emergency Service, Hospital; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D011175:Positive-Pressure Respiration; D012121:Respiration, Artificial / Q000009:adverse effects / Q000379:methods*; D012128:Respiratory Distress Syndrome / Q000628:therapy; D012131:Respiratory Insufficiency / Q000503:physiopathology / Q000628:therapy*
keywords: Acute respiratory distress syndrome; Acute respiratory failure; Mechanical ventilation