Risk factors for underuse of lung-protective ventilation in acute lung injury.
作者： Allan J. Walkey , Renda Soylemez Wiener
DOI: 10.1016/J.JCRC.2011.06.015
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摘要: Abstract Purpose We assessed factors associated with underuse of lung-protective ventilation (LPV) in patients acute lung injury (ALI). Methods A secondary analysis Acute Respiratory Distress Syndrome Clinical Trials Network trial data, 1999 to 2005, was conducted. Tidal volumes recorded before randomization were analyzed determine receipt LPV (tidal volume ≤6.5 mL/kg predicted body weight [PBW]). Results Of 1385 participants, 430 (31.2%) received LPV. Average tidal 7.65 ± 1.82 PBW; measured greater than "lung-protective" by 6.5 PBW (mean difference, 67 108 mL; P Conclusions Simple interventions could substantially improve adherence among ALI and warrant prospective study.
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sci-hub.se 参考文章(33)
Gordon Bernard, The Brussels Score Sepsis. ,vol. 1, pp. 43- 44 ,(1997) , 10.1023/A:1009711301483
G. R. Bernard, , A. Artigas, K. L. Brigham, J. Carlet, K. Falke, L. Hudson, M. Lamy, J. R. LeGall, A. Morris, R. Spragg, Report of the American-European consensus conference on ARDS: definitions, mechanisms, relevant outcomes and clinical trial coordination. The Consensus Committee. Intensive Care Medicine. ,vol. 20, pp. 225- 232 ,(1994) , 10.1007/BF01704707
Rogier M. Determann, Esther K. Wolthuis, Peter E. Spronk, Michael A. Kuiper, Johanna C. Korevaar, Margreeth B. Vroom, Marcus J. Schultz, Reliability of height and weight estimates in patients acutely admitted to intensive care units. Critical Care Nurse. ,vol. 27, pp. 48- 55 ,(2007) , 10.4037/CCN2007.27.5.48
Michael P. Young, Harold L. Manning, Diana L. Wilson, Stephen A. Mette, Richard R. Riker, J. C. Leiter, Stephen K. Liu, Jason T. Bates, Polly E. Parsons, Ventilation of patients with acute lung injury and acute respiratory distress syndrome: Has new evidence changed clinical practice?* Critical Care Medicine. ,vol. 32, pp. 1260- 1265 ,(2004) , 10.1097/01.CCM.0000127784.54727.56
R KALLET, K LIU, J TANG, Management of acidosis during lung-protective ventilation in acute respiratory distress syndrome. Respiratory Care Clinics of North America. ,vol. 9, pp. 437- 456 ,(2003) , 10.1016/S1078-5337(03)00034-0
Niall D. Ferguson, Fernando Frutos-Vivar, Andrés Esteban, Pilar Fernández-Segoviano, José Antonio Aramburu, Laura Nájera, Thomas E. Stewart, Acute respiratory distress syndrome: Underrecognition by clinicians and diagnostic accuracy of three clinical definitions* Critical Care Medicine. ,vol. 33, pp. 2228- 2234 ,(2005) , 10.1097/01.CCM.0000181529.08630.49
Ravi Kalhan, Mark Mikkelsen, Pali Dedhiya, Jason Christie, Christine Gaughan, Paul N. Lanken, Barbara Finkel, Robert Gallop, Barry D. Fuchs, Underuse of lung protective ventilation: analysis of potential factors to explain physician behavior. Critical Care Medicine. ,vol. 34, pp. 300- 306 ,(2006) , 10.1097/01.CCM.0000198328.83571.4A
Murat Yilmaz, Mark T. Keegan, Remzi Iscimen, Bekele Afessa, Curtis F. Buck, Rolf D. Hubmayr, Ognjen Gajic, Toward the prevention of acute lung injury: protocol-guided limitation of large tidal volume ventilation and inappropriate transfusion. Critical Care Medicine. ,vol. 35, pp. 1660- 1666 ,(2007) , 10.1097/01.CCM.0000269037.66955.F0
Nsikak J. Umoh, Eddy Fan, Pedro A. Mendez-Tellez, Jonathan E. Sevransky, Cheryl R. Dennison, Carl Shanholtz, Peter J. Pronovost, Dale M. Needham, Patient and intensive care unit organizational factors associated with low tidal volume ventilation in acute lung injury. Critical Care Medicine. ,vol. 36, pp. 1463- 1468 ,(2008) , 10.1097/CCM.0B013E31816FC3D0
William Checkley, Roy Brower, Anna Korpak, B. Taylor Thompson, Effects of a clinical trial on mechanical ventilation practices in patients with acute lung injury. American Journal of Respiratory and Critical Care Medicine. ,vol. 177, pp. 1215- 1222 ,(2008) , 10.1164/RCCM.200709-1424OC