What is it about?
Patients with acute respiratory failure may have a high drive to breathe and their own ventilation may cause a "self-inflicted" lung injury. In some cases applying a protective mechanical ventilation may be necessary to protect the patient.
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Why is it important?
This emphasizes the potential benefits of applying a "protective" mechanical ventilation and should motivate clinicians to think at its appropriate use. There are some circumstances where spontaneous breathing is not entirely desirable.
Perspectives
This concept help us to revisit - limits of noninvasive ventilation - indications for intubation and mechanical ventilation - indications for sedation and paralysis - indications for switching to assisted ventilation - understanding unexplained worsening under mechanical ventilation
Dr Laurent J Brochard
University of Toronto
Read the Original
This page is a summary of: Mechanical Ventilation to Minimize Progression of Lung Injury in Acute Respiratory Failure, American Review of Respiratory Disease, February 2017, American Thoracic Society,
DOI: 10.1164/rccm.201605-1081cp.
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