Ventilation (Strategies): Difference between revisions
(Created page with "Inclusion criteria: ARDS defined as PaO2/FiO2 ratio <300, bilateral alveolar infiltrates on CXR, no evidence of CHF Treatment: 1) TV 6cc/kg ideal body weight 2) Increased ...") |
m (moved Vent (ARDS) to Ventilator Management) |
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Revision as of 01:33, 23 May 2011
Inclusion criteria:
ARDS defined as PaO2/FiO2 ratio <300, bilateral alveolar infiltrates on CXR, no evidence of CHF
Treatment:
1) TV 6cc/kg ideal body weight
2) Increased PEEP with decreased FiO2-->
FiO2 (PEEP)
0.4 (5-8)
0.5 (8-10)
0.6 (10)
0.7 (10-14)
0.8 (14)
0.9 (14-18)
1.0 (18-24)
Adjust to:
1) pH = 7.3-7.45 adjust rate (6-35) prn
2) PaO2 = 55-80 (or SaO2 = 88-95%)
Outcome: decreased mortality & #days on the ventilator
2/2/06 DONALDSON (adapted from Lampe; NEJM May 200?)