Spontaneous breathing during ARDS - Critical Care Canada Forum

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Increasing Intensity of Intervention Ferguson N et al ICM 2012 NIV Low – Moderate PEEP Higher PEEP Low Tidal Volume Ventilation Increasing Severity of Lung Injury ECCO 2-R HFO Prone Positioning 300 250 200 150 100 50 PaO2/FiO2 ECMO Neuromuscular Blockade Mild ARDS Moderate ARDS Severe ARDS
Why is spontaneous breathing • Preserve Respiratory Muscle Function (avoid VIDD) Levine S et al. N Engl J Med 2008;358:1327-1335 desirable? • Improve VA/Q and Regional Ventilation
Page 1 and 2: Spontaneous breathing efforts durin
Page 3: Timing Chest Imaging a Origin of Ed
Page 7 and 8: • Controlled MV • Assist Contro
Page 9 and 10: Paw (cm H2O) Flow (L/sec) EAdi (µV
Page 11: Spontaneous Breathing (CPAP) PCV No
Page 15 and 16: High and low Paw with APRV/BIPAP (w
Page 17 and 18: Pressure-Preset Modes No i-synchron
Page 19 and 20: Artificial lung settings • C Rrs:
Page 21 and 22: Tidal volume (ml) 800 600 400 200 0
Page 23 and 24: JAMA 2008
Page 25 and 26: Patient DATA Trends
Page 27: Thank you! http://mechanicalventila

Spontaneous breathing during ARDS - Critical Care Canada Forum

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