title: Mechanical ventilation for ARDS patients--for a better understanding of the 2012 Surviving Sepsis Campaign Guidelines.
abstract: The mortality rate among patients suffering acute respiratory distress syndrome (ARDS) remains high despite implementation at clinical centers of the lung protective ventilatory strategies recommended by the International Guidelines for Management of Severe Sepsis and Septic Shock, 2012. This suggests that such strategies are still sub-optimal for some ARDS patients. For these patients, tailored use of ventilator settings should be considered, including: further reduction of tidal volumes, administration of neuromuscular blocking agents if the patient's spontaneous breathing is incompatible with mechanical ventilation, and adjusting positive end-expiratory pressure (PEEP) settings based on transpulmonary pressure levels.
authors.forename: Muneyuki
authors.initials: M
authors.lastname: Takeuchi
authors.affiliation: Department of Intensive Care Medicine, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodocho, Izumi, Osaka, 594-1101, Japan. mtake@mch.pref.osaka.jp.
authors.forename: Kazuya
authors.initials: K
authors.lastname: Tachibana
mesh_terms: D000818:Animals; D006801:Humans; D011175:Positive-Pressure Respiration / Q000379:methods; D017410:Practice Guidelines as Topic; D012121:Respiration, Artificial / Q000379:methods*; D012128:Respiratory Distress Syndrome / Q000401:mortality / Q000628:therapy*; D018805:Sepsis / Q000628:therapy; D013990:Tidal Volume