ARDSnet: PEEP strategy. NEJM 2004

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Paper type Randomised Controlled Trial Reference The National Heart, Lung, and Blood Institute ARDS Clinical Trials Network. Higher versus Lower Positive End-Expiratory Pressures in Patients with Acute respiratory Distress Syndrome. N Eng J Med 2004;351;327-36. Major Finding There is no difference in outcome between "low PEEP" and "high PEEP" in patients ventilated with ARDS PubMed Abstract NEJM Full Text Scottish Intensive Care Society CAT review of paper Point for discussion: Has this finally put the 'steroids in ARDS' debate to bed? Major Finding In patients with acute lung injury and ARDS who receive mechanical ventilation with lower tidal volumes and inspiratory pressures, raising PEEP to levels that exceed those used in our lower-PEEP strategy does not improve important clinical PubMed Abstract NEJM Full Text Scottish Intensive Care Society CAT review of paper Point for discussion: What is the optimal level of PEEP to accompany low-tidal volume ventilation in the face of ARDS? ArticleDate:20070515 SiteSection: Article

 

Related Articles:  ARDS – Introduction to Management  ARDS – Definition and Pathophysiology  Prone positioning and ARDS  ARDS - Prone Positioning  ARDS - High or low PEEP?

   
    
                                            

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