RT Journal Article
SR Electronic
T1 Should A Tidal Volume of 6 mL/kg Be Used in All Patients?
JF Respiratory Care
FD American Association for Respiratory Care
SP 774
OP 790
DO 10.4187/respcare.04651
VO 61
IS 6
A1 John D Davies
A1 Mourad H Senussi
A1 Eduardo Mireles-Cabodevila
YR 2016
UL http://rc.rcjournal.com/content/61/6/774.abstract
AB It has been shown that mechanical ventilation by itself can cause lung injury and affect outcomes. Ventilator-induced lung injury is associated with high tidal volumes in lungs afflicted with ARDS. However, the question is: Do high tidal volumes have this same effect in normal lungs or lungs that have respiratory compromise stemming from something other than ARDS? Many clinicians believe that a tidal volume strategy of 6 mL/kg predicted body weight should be standard practice in all patients receiving mechanical ventilation. There is a growing body of evidence related to this issue, and this is the debate that will be tackled in this paper from both pro and con perspectives.