Open Access

Ventilator-associated lung injury in ARDS

  • Richard Venn
Critical Care20002:4129

https://doi.org/10.1186/ccf-2000-4129

Published: 17 January 2000

Keywords

ALI ARDS lung injury ventilator

Comments

An excellent review which presents literature from both animal experiments and human clinical trials in an attempt to form a consensus view on ventilator-induced lung injury (VILI). Animal data pertaining to alveolar overdistension, as a result of increased transpulmonary pressure during mechanical ventilation, is examined, and the difficulties in translating this evidence into the human arena are discussed. The authors highlight the fact that we can only infer that VILI occurs in humans, since a study to prove this can not be performed for obvious reasons. Nevertheless, clinical observations show that protective ventilator strategies can influence morbidity and mortality and the much publicised multicentre trial, recently completed by the NIH, is quoted here. Risk factors, incidence, monitoring, morbidity, mortality and prevention of VILI are all covered by this consensus conference. The conclusions reached, are that low tidal volumes, PEEP titrated to the PV curve, and possibly prone positioning may all protect against VILI.

Additional information

Jointly published with Am J Respir Crit Care Med 1999, 160:2118-2124

References

  1. International consensus conference in intensive care medicine: Ventilator-associated lung injury in ARDS. Intensive Care Med. 1999, 25: 1444-1452.View ArticleGoogle Scholar

Copyright

© Current Science Ltd 2000

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