Acute Respiratory Distress Syndrome: Ventilator Management and Rescue Therapies

Overview

Journal Crit Care Clin

Specialty Critical Care

Date 2021 Sep 22

PMID 34548137

Citations 6

Authors

Melissa H Coleman

J Matthew Aldrich

Affiliations

Soon will be listed here.

Abstract

This review describes the management of mechanical ventilation in patients with acute respiratory distress syndrome, including in those with coronavirus disease 2019. Low tidal volume ventilation with a moderate to high positive end-expiratory pressure remains the foundation of an evidence-based approach. We consider strategies for setting positive end-expiratory pressure levels, the use of recruitment maneuvers, and the potential role of driving pressure. Rescue therapies including prone positioning and extracorporeal membrane oxygenation are also discussed.

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