• Respiratory care · Jun 2016

    Review

    Should A Tidal Volume of 6 mL/kg Be Used in All Patients?

    • John D Davies, Mourad H Senussi, and Eduardo Mireles-Cabodevila.
    • Respiratory Care Services, Duke University, Durham, North Carolina. john.davies@duke.edu mirelee@ccf.org.
    • Respir Care. 2016 Jun 1; 61 (6): 774-90.

    AbstractIt has been shown that mechanical ventilation by itself can cause lung injury and affect outcomes. Ventilator-induced lung injury is associated with high tidal volumes in lungs afflicted with ARDS. However, the question is: Do high tidal volumes have this same effect in normal lungs or lungs that have respiratory compromise stemming from something other than ARDS? Many clinicians believe that a tidal volume strategy of 6 mL/kg predicted body weight should be standard practice in all patients receiving mechanical ventilation. There is a growing body of evidence related to this issue, and this is the debate that will be tackled in this paper from both pro and con perspectives.Copyright © 2016 by Daedalus Enterprises.

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