Advances in Lung and Diaphragm-Protective Ventilation
Author Information
Author(s): van den Berg Maarten J.W., Heunks Leo, Doorduin Jonne
Primary Institution: Radboud University Medical Center
Hypothesis
Can a systematic approach to titrating inspiratory support and sedation facilitate lung- and diaphragm-protective ventilation?
Conclusion
A comprehensive understanding of breathing physiology and a series of interventions are necessary to achieve lung- and diaphragm-protective ventilation.
Supporting Evidence
- Noninvasive ventilator maneuvers can accurately detect respiratory efforts and lung stress.
- Systematic titration of inspiratory support and sedation facilitates protective ventilation.
- Monitoring techniques include esophageal manometry and electrical activity of the diaphragm.
Takeaway
Doctors need to carefully adjust how they help patients breathe with machines to protect their lungs and diaphragm from harm.
Methodology
The review discusses monitoring techniques and interventions for lung- and diaphragm-protective ventilation.
Limitations
The short duration of trials does not allow conclusions on long-term feasibility and effects on patient-centered outcomes.
Digital Object Identifier (DOI)
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