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Protective Ventilation
To determine whether clinicians changed the setting of tidal volume between 1994 and 2001, Weinert and coworkers
analyzed data on 398 patients with acute lung injury. In the first 5 years, tidal volume was 9.5 ml per kg (measured body weight). Tidal volume decreased between mid to late 1998; it was 8.9 ml per kg for the last 2 years of the study (the change in tidal volume occurred before initial release of results from the ARDS Network trial in 1999). A tidal volume of 6 ml per kg or less was used in 0.9% of patients. Between the first and third day of mechanical ventilation, the setting of tidal volume was decreased by only 33 ml. The authors conclude that clinicians started ventilating acute lung injury patients with lower tidal volumes in 1998 as compared with 1994, but the decrease in tidal volume was modest. An editorial commentary by Ricard
accompanies this article.
Citations 1-2 of 2 total displayed.
Are We Really Reducing Tidal Volume—And Should We?
- Jean-Damien Ricard
Am. J. Respir. Crit. Care Med. 167: 1297-1298.
[Full text]
Impact of Randomized Trial Results on Acute Lung Injury Ventilator Therapy in Teaching Hospitals
- Craig R. Weinert, Cynthia R. Gross, and William A. Marinelli
Am. J. Respir. Crit. Care Med. 167: 1304 -1309. First published online as doi:10.1164/rccm.200205-478OC
[Abstract]
[Full text]
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