2016
DOI: 10.5935/0103-507x.20160067
|View full text |Cite
|
Sign up to set email alerts
|

Lung protection: an intervention for tidal volume reduction in a teaching intensive care unit

Abstract: ObjectiveTo determine the effect of feedback and education regarding the use of predicted body weight to adjust tidal volume in a lung-protective mechanical ventilation strategy.MethodsThe study was performed from October 2014 to November 2015 (12 months) in a single university polyvalent intensive care unit. We developed a combined intervention (education and feedback), placing particular attention on the importance of adjusting tidal volumes to predicted body weight bedside. In parallel, predicted body weigh… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1
1
1

Citation Types

0
3
0
1

Year Published

2017
2017
2023
2023

Publication Types

Select...
4
1

Relationship

0
5

Authors

Journals

citations
Cited by 5 publications
(5 citation statements)
references
References 23 publications
(23 reference statements)
0
3
0
1
Order By: Relevance
“…( 7 ) In humans, following the publication of the ARDS Network Study, the setting of tidal volume (VT) (one of the determinants of strain) during mechanical ventilation (MV) is currently based on the ideal body weight (calculated using height and sex), assuming a linear relationship between the latter and normal lung volumes regardless of other sources of variation, such as age and race or anthropometric measurements errors. ( 9 - 11 ) A different approach based on the size of the lungs has been proposed. The FRC and TLC may vary widely in humans and dogs with lung injuries, as well as in obese humans.…”
Section: Introductionmentioning
confidence: 99%
“…( 7 ) In humans, following the publication of the ARDS Network Study, the setting of tidal volume (VT) (one of the determinants of strain) during mechanical ventilation (MV) is currently based on the ideal body weight (calculated using height and sex), assuming a linear relationship between the latter and normal lung volumes regardless of other sources of variation, such as age and race or anthropometric measurements errors. ( 9 - 11 ) A different approach based on the size of the lungs has been proposed. The FRC and TLC may vary widely in humans and dogs with lung injuries, as well as in obese humans.…”
Section: Introductionmentioning
confidence: 99%
“…En términos generales consideramos que los resultados obtenidos respaldan nuestras presunciones iniciales sobre las dificultades de aplicación de cualquier protocolización clínica (14) . De hecho, la falla en la implementación de evidencia científica dentro de la práctica clíni-ca es uno de los desafíos más grandes de la medicina actual y su corrección debe ser una tarea de construcción permanente en UCI.…”
Section: Discussionunclassified
“…Critically ill patients admitted in ICU must have continuous monitoring of the effective ventilation. Continuous monitoring of tidal volume allows assessing abnormal pulmonary function and associated lung protection 68 . A too high volume risks over‐inflation, while a too low volume may cause atelectasis.…”
Section: Methodsmentioning
confidence: 99%
“…Continuous monitoring of tidal volume allows assessing abnormal pulmonary function and associated lung protection. 68 A too high volume risks over-inflation, while a too low volume may cause atelectasis * . An inadequate ventilation may lead to a mucus plug, a right main-stem intubation, or a pneumothorax.…”
Section: D Tidal Volume Vtmentioning
confidence: 99%