Pulmonary Barotrauma in Mechanical Ventilation

High survival rate in 122 ARDS patients managed according to a clinical algorithm including extracorporeal membrane oxygenation

“…Despite the fact that we met these limits in our ARDS patients on average, we observed a high barotrauma rate of 72 %. Similar rates ranging from 64-80 % have been observed in ARDS patients by others [25,26,61,62]. These findings suggest that the pathologic changes within the ARDS lung contribute largely to the increased incidence of barotrauma.…”

Predictors of Successful Early Extubation Following Congenital Cardiac Surgery in Neonates and Infants

“…In short, extubation avoids problems directly associated with endotracheal tubes such as subglottic oedema, tracheomalacia, tube obstruction, mucous plugging, kinking, and the risk of accidental or unintended extubation [12,13]. Extubation avoids the barotrauma which accompanies positive pressure ventilation, along with atelectasis and pulmonary infections [14,15].…”

Improved prognosis of acute respiratory distress syndrome 15 years on

“…In ARDS, tidal delivery is impaired by alveolar flooding or parenchymal consolidation. Applying a large tidal volume may normalize PaCO 2 , but requires a high airway pressure and runs the theoretical risk of barotrauma [15]. Barotrauma-related worsening of lung disease may partly account for the very poor outcome of ARDS in the past.…”