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Intensive Care Medicine

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01.03.2014 | Editorial

Should mechanical ventilation care be centralized and should we thus transfer all ventilated patients to high volume units? Take a breath first

verfasst von: Marcus J. Schultz, Peter E. Spronk

Erschienen in: Intensive Care Medicine | Ausgabe 3/2014

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Excerpt

For years, many critical care physicians considered mechanical ventilation as an easy and harmless intervention in intensive care unit (ICU) patients. Nowadays, preclinical and clinical researchers and critical care physicians increasingly appreciate the potential harmful effects of ventilation, in both patients with the acute respiratory distress syndrome (ARDS) [1] and those with uninjured lungs [2]. Ventilation turns out to be everything but safe, as it can cause so-called ‘ventilator-induced lung injury’ (VILI) [3] and ‘ventilator-induced diaphragm dysfunction’ (VIDD) [4]. Mitigating this harm is far from simple. It requires skill, which like all skills improves with experience. …

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Titel: Should mechanical ventilation care be centralized and should we thus transfer all ventilated patients to high volume units? Take a breath first
verfasst von: Marcus J. Schultz
Peter E. Spronk
Publikationsdatum: 01.03.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: Intensive Care Medicine / Ausgabe 3/2014
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-014-3216-9

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Should mechanical ventilation care be centralized and should we thus transfer all ventilated patients to high volume units? Take a breath first

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