Some of the major objectives of the strategy include lessening regional alveolar distension, atelectasis, oxygen mediated injury, diaphragm injury, and inflammation. The other approaches that can be used to lessen the injury include using high frequency oscillatory ventilation, positioning, neuromascular blocking agents, fluid therapy, and immunomodulation.
Conclusion:
Ventilator Induced Lung Injury is one of the common illnesses that occur among patients with acute lung injury. This disease is mainly attributed to the use of mechanical ventilator to save these patients though there are other risk factors that contribute to the injury.
References:
Dreyfuss, D. & Saumon, G. (1998, January 1). Ventilator-induced Lung Injury -- Lessons from Experimental Studies. American Journal of Respiratory and Critical Care Medicine, 157(1), 294-323. Retrieved from http://ajrccm.atsjournals.org/content/157/1/294.long
Galvin, S. & Granton, J. (2011, March 3). Reducing Ventilator Lung Injury. Retrieved September
26, 2012, from http://respiratory-care-sleep-medicine.advanceweb.com/Features/Articles/Reducing-Ventilator-Induced-Lung-Injury.aspx
Ricard, J.D., Dreyfuss, D. & Saumon, G. (2003). Ventilator-induced Lung Injury. European Respiratory Journal, 22(42). Retrieved from http://erj.ersjournals.com/content/22/42_suppl/2s.full.pdf
Tremblay, L.N. & Slutsky, a.S. (2006). Ventilator-induced Lung Injury: From the Bench to the Bedside. Intensive Care Med, 32, 24-33. Retrieved from http://www.ccmpitt.com/ebm/ards/ventilator-induced%20lung%20injury_from%20the%20bench%20to%20the%20bedside.pdf
Lung Recruitability in Early ARDS Lung Recruitment in ARDS The symptoms of acute respiratory distress syndrome (ARDS) include cyanosis refractory to oxygen therapy, lower lung compliance, radiographic evidence of diffuse bilateral infiltrates, and PaO2/FiO2 ? 200 mmHg (reviewed by LaFollette, Norton, DiRocco, Carney, and Nieman, 2006). Problems arise when normal tidal volumes are used to ventilate ARDS lungs, because much of the lung tissue is refractory to recruitment. As a result, ventilator-induced
Airway pressure release ventilation (APRV) is an alternative to mechanical methods used to aid oxygenation in patients with conditions like acute lung injury or acute respiratory distress syndrome (Daoud, 2007). It is a continuous positive airway pressure system allowing brief and intermittent releases in airway pressure (Frawley & Habashi, 2001). APRV is heralded for its ability to "allow unrestricted spontaneous breathing in any phase of the mechanical cycle," as well
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