1. Acute Respiratory Distress Syndrome
- Author
-
J. Matthew Aldrich and Melissa H. Coleman
- Subjects
Mechanical ventilation ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,business.industry ,medicine.medical_treatment ,General Medicine ,Acute respiratory distress ,Critical Care and Intensive Care Medicine ,Prone position ,Low tidal volume ,Breathing ,Extracorporeal membrane oxygenation ,Medicine ,In patient ,business ,Intensive care medicine - Abstract
This review describes the management of mechanical ventilation in patients with acute respiratory distress syndrome, including in those with coronavirus disease 2019. Low tidal volume ventilation with a moderate to high positive end-expiratory pressure remains the foundation of an evidence-based approach. We consider strategies for setting positive end-expiratory pressure levels, the use of recruitment maneuvers, and the potential role of driving pressure. Rescue therapies including prone positioning and extracorporeal membrane oxygenation are also discussed.
- Published
- 2021
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