Lung-protective Ventilation Strategies and Adjunctive

Emerg. Med. Clin. North Am. · Nov 2014

Review

Lung-protective Ventilation Strategies and Adjunctive Treatments for the Emergency Medicine Patient with Acute Respiratory Failure.

Respiratory failure is a frequent disease process encountered in the emergency department. There is significant need for improvement in the care of patients on mechanical ventilation. If not contraindicated, lung-protective ventilation strategies should be used. It is important to consider pathophysiology (shunting, dead space ventilation, and low venous admixture) when formulating treatment strategies in patients who are difficult to oxygenate or ventilate or when Pao2, Paco2, and pH can only be maintained at unsafe ventilator settings.

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- Brian J Wright.
- Department of Emergency Medicine, Stony Brook University School of Medicine, 101 Nicolls Road, Stony Brook, NY 11794, USA; Department of Surgery, Stony Brook University School of Medicine, 101 Nicolls Road, Stony Brook, NY 11794, USA. Electronic address: brianjwright1@gmail.com.
- Emerg. Med. Clin. North Am. 2014 Nov 1; 32 (4): 871-87.
AbstractRespiratory failure is a frequent disease process encountered in the emergency department. There is significant need for improvement in the care of patients on mechanical ventilation. If not contraindicated, lung-protective ventilation strategies should be used. It is important to consider pathophysiology (shunting, dead space ventilation, and low venous admixture) when formulating treatment strategies in patients who are difficult to oxygenate or ventilate or when Pao2, Paco2, and pH can only be maintained at unsafe ventilator settings. Copyright © 2014 Elsevier Inc. All rights reserved.

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Lung-protective Ventilation Strategies and Adjunctive Treatments for the Emergency Medicine Patient with Acute Respiratory Failure.

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