Erschienen in:
22.07.2016 | Editorial
Assessment of oxygenation response to prone position ventilation in ARDS by lung ultrasonography
verfasst von:
Claude Guerin, Luciano Gattinoni
Erschienen in:
Intensive Care Medicine
|
Ausgabe 10/2016
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Excerpt
Acute respiratory distress syndrome (ARDS) is of major concern for the intensivist, as ARDS can only be treated in the intensive care unit (ICU). A cornerstone treatment is mechanical ventilation in order to buy time while the disease leading to ARDS can be cured. Therefore, the first aim of mechanical ventilation is to maintain a viable gas exchange. Over the years we realized that the cost of mechanical ventilation, as measured by the occurrence of ventilator-induced lung injury (VILI) [
1], was too high if the target of the mechanical ventilation was normal blood gases. From there, permissive hypercapnia and oxygen saturation between 85 and 90 % were accepted to decrease the risk of VILI. …