ARDS-Ventilator

new england journal of medicine, 2000. study on ARDS: low tidal volume ventilation vs traditional ventilation in ARDS by ARDS Network group.

- The one strategy that has proven effective in reducing the duration of mechanical ventilation and improving survival is the use of low tidal volume
ventilation.
- This strategy employs ventilator-delivered tidal volumes of 6 mL per kilogram of predicted body weight, with an additional goal of maintaining plateauairway pressures < 30 cm H2O.
- Part of this protocol dictates the use of certain combinations of inspired oxygen (FiO2) and PEEP.
- Because use of this protocol has been shown to improve outcomes for ALI/ARDS patients, it should be employed whenever possible in treating these
patients.- Therefore, these FiO2/PEEP combinations should be used to achieve adequate oxygenation: