| Literature DB >> 27842744 |
Jeremy R Beitler1, Atul Malhotra2, B Taylor Thompson3.
Abstract
Prevention of ventilator-induced lung injury (VILI) can attenuate multiorgan failure and improve survival in at-risk patients. Clinically significant VILI occurs from volutrauma, barotrauma, atelectrauma, biotrauma, and shear strain. Differences in regional mechanics are important in VILI pathogenesis. Several interventions are available to protect against VILI. However, most patients at risk of lung injury do not develop VILI. VILI occurs most readily in patients with concomitant physiologic insults. VILI prevention strategies must balance risk of lung injury with untoward side effects from the preventive effort, and may be most effective when targeted to subsets of patients at increased risk.Entities:
Keywords: Acute lung injury; Acute respiratory distress syndrome; Mechanical ventilation; Respiratory mechanics; Ventilator-induced lung injury
Mesh:
Year: 2016 PMID: 27842744 PMCID: PMC5131805 DOI: 10.1016/j.ccm.2016.07.004
Source DB: PubMed Journal: Clin Chest Med ISSN: 0272-5231 Impact factor: 2.878