Mechanical Ventilation in an Airborne Epidemic

Overview

Journal Clin Chest Med

Specialty Pulmonary Medicine

Date 2008 Apr 29

PMID 18440440

Citations 7

Authors

Ghee-Chee Phua

Joseph Govert

Affiliations

Soon will be listed here.

Abstract

With the increasing threat of pandemic influenza and catastrophic bioterrorism, it is important for intensive care providers to be prepared to meet the challenge of large-scale airborne epidemics causing mass casualty respiratory failure. The severe acute respiratory syndrome outbreak exposed the vulnerability of health care workers and highlighted the importance of establishing stringent infection control and crisis management protocols. Patients who have acute lung injury and acute respiratory distress syndrome who require mechanical ventilation should receive a lung protective, low tidal volume strategy. Controversy remains regarding the use of high-frequency oscillatory ventilation and noninvasive positive pressure ventilation. Standard, contact, and airborne precautions should be instituted in intensive care units, with special care taken when aerosol-generating procedures are performed.

Citing Articles

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