Mechanical ventilation in acute hypoxemic respiratory failure: a review of new strategies for the practicing hospitalist.

ABSTRACT:

Background

The goal of mechanical ventilation in acute hypoxemic respiratory failure is to support adequate gas exchange without harming the lungs. How patients are mechanically ventilated can significantly impact their ultimate outcomes.

Methods

This review focuses on emerging evidence regarding strategies for mechanical ventilation in patients with acute hypoxemic respiratory failure including: low tidal volume ventilation in the acute respiratory distress syndrome (ARDS), novel ventilator modes as alternatives to low tidal volume ventilation, adjunctive strategies that may enhance recovery in ARDS, the use of lung-protective strategies in patients without ARDS, rescue therapies in refractory hypoxemia, and an evidence-based approach to weaning from mechanical ventilation.

SUBMITTER: Wilson JG 

PROVIDER: S-EPMC4139286 | biostudies-literature | 2014 Jul

REPOSITORIES: biostudies-literature