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Respiratory Support with Limited Tidal Volume and Peak Pressure in Patients with Acute Respiratory Distress Syndrome

https://doi.org/10.15360/1813-9779-2005-5-49-56

Abstract

The paper presents the results of a study, which prove the advantages of artificial ventilation with a descending air flow on inspiration, tidal volume 6 ml/kg body weight; P peak < 30 cm H2O in showing its efficiency, by optimizing the parameters of the respiratory pattern, by improving gas exchange in the lung, by reducing the time of respiratory support, the length of stay in an intensive care unit, and mortality rates as compared with artificial square-wave air flow on inspiration, TV 12—15 ml/kg body weight; Ppeak tracheal >35 cm H2°.

About the Authors

A. V. Vlasenko
Research Institute of General Reanimatology, Russian Academy of Medical Sciences, Moscow; S. P. Botkin City Clinical Hospital, Moscow


D. A. Ostapchenko
Research Institute of General Reanimatology, Russian Academy of Medical Sciences, Moscow; S. P. Botkin City Clinical Hospital, Moscow


G. N. Meshcheryakov
Research Institute of General Reanimatology, Russian Academy of Medical Sciences, Moscow; S. P. Botkin City Clinical Hospital, Moscow


P. Yu. Osipov
Research Institute of General Reanimatology, Russian Academy of Medical Sciences, Moscow; S. P. Botkin City Clinical Hospital, Moscow


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Review

For citations:


Vlasenko A.V., Ostapchenko D.A., Meshcheryakov G.N., Osipov P.Yu. Respiratory Support with Limited Tidal Volume and Peak Pressure in Patients with Acute Respiratory Distress Syndrome. General Reanimatology. 2005;1(5):49-56. (In Russ.) https://doi.org/10.15360/1813-9779-2005-5-49-56

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ISSN 1813-9779 (Print)
ISSN 2411-7110 (Online)