Clinical Year in Review III:: Mechanical Ventilation, Acute Respiratory Distress Syndrome, Nonpulmonary Intensive Care Unit, and Quality Performance Assessment Metrics in Your Practice
| العنوان: | Clinical Year in Review III:: Mechanical Ventilation, Acute Respiratory Distress Syndrome, Nonpulmonary Intensive Care Unit, and Quality Performance Assessment Metrics in Your Practice |
|---|---|
| المؤلفون: | Margaret S. Herridge, Elizabeth Wilcox M |
| المصدر: | Proceedings of the American Thoracic Society. 8:404-410 |
| بيانات النشر: | American Thoracic Society, 2011. |
| سنة النشر: | 2011 |
| مصطلحات موضوعية: | Pulmonary and Respiratory Medicine, Brain Death, ARDS, Quality Assurance, Health Care, Critical Illness, medicine.medical_treatment, Acute respiratory distress, Quality performance, law.invention, Positive-Pressure Respiration, law, medicine, Humans, Reimbursement, Incentive, Mechanical ventilation, Respiratory Distress Syndrome, business.industry, Year in review, medicine.disease, Respiration, Artificial, Shock, Septic, Intensive care unit, Cardiopulmonary Resuscitation, Tissue Donors, respiratory tract diseases, Intensive Care Units, Pneumothorax, Anesthesia, Cognition Disorders, business, Neuromuscular Blockers |
| الوصف: | 18.6%; RR, 0.64; 95% CI, 0.54‐0.75; P , 0.001), and moreover, the rate of death after rescue therapies was significantly lower (7.5 vs. 11.3%; RR, 0.65; 95% CI, 0.52‐0.80; P , 0.001) (3). In patients with ARDS, there was an insignificant increase in risk of pneumothorax with higher PEEP (RR, 1.23; 95% CI, 0.94‐1.68; P ¼ 0.13), and no difference in fatal consequences from barotrauma (RR, 1.2; 95% CI, 0.79‐1.81; P ¼ 0.39) (3). The use of neuromuscular blockers, corticosteroids, and vasopressors was similar between groups treated with higher and lower PEEP. In summary, this analysis suggests that higher PEEP is safe in patients with ARDS and may reduce the need for performing rescue therapies. Further, low to moderate levels of PEEP should be used for most patients with ALI. |
| تدمد: | 1546-3222 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::af39960bde683edce937216642da6341Test https://doi.org/10.1513/pats.201108-043ttTest |
| رقم الانضمام: | edsair.doi.dedup.....af39960bde683edce937216642da6341 |
| قاعدة البيانات: | OpenAIRE |
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