Basic Protocol of Diagnosis and Management
Analysis of invasive mechanical ventilation protocol in acute respiratory distress syndrome
Ruiqiang Zheng, Qian Zhai, Bo Hu, Lina Zhang, Wenkui Yu, Xianghong Yang, Yun Long, Critical Care County Working Group
Published 2017-08-28
Cite as Chin J Crit Care Intensive Care Med, 2017, 03(3): 202-207. DOI: 10.3877/cma.j.issn.2096-1537.2017.03.010
Abstract
Invasive mechanical ventilation is one of the important therapies in acute respiratory distress syndrome (ARDS). At present, the clinical management of invasive mechanical ventilation for ARDS is still not standardized. Standardization of the invasive mechanical ventilation protocol will be helpful to improve the effect of mechanical ventilation and reduce mortality in ARDS. In this study, we performed a standardized protocol of invasive mechanical ventilation in patients with ARDS including the choice of artificial airway and initial ventilator mode, low tidal volume of lung protective strategy, adjunctive and rescue strategies, methods of deal with the hypercapnia after low tidal volume ventilation and weaning from the invasive ventilation.
Key words:
Acute respiratory distress syndrome; Invasive mechanical ventilation; Protocol
Contributor Information
Ruiqiang Zheng
Department of Critical Care Medicine, Northern Jiangsu People’s Hospital, Yangzhou 225001, China
Qian Zhai
Department of Critical Care Medicine, Qilu Hospital of Shandong University, Jinan 250002, China
Bo Hu
Department of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
Lina Zhang
Department of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha 410013, China
Wenkui Yu
Department of Critical Care Medicine, Jinling Hospital Affiliated Medical School of Nanjing University, Nanjing 210002, China
Xianghong Yang
Department of Critical Care Medicine, Zhejiang Provincial People′s Hospital, Hangzhou 310006, China
Yun Long
Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100032, China
Critical Care County Working Group
