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When Lung-Protective Ventilation Isn’t Brain-Protective? A Look at the PROLABI Trial
Lung-protective ventilation (LPV), characterized by low tidal volumes and appropriate PEEP, is a cornerstone in managing patients with acute respiratory distress syndrome (ARDS). However, its application in patients with severe acute brain injury raises concerns. The potential for lung protective ventilation to increase intracranial pressure due to hypercapnia and elevated PEEP levels necessitates a closer examination of its safety and efficacy in this unique patient population.
Grand Rounds Recap 9.29.21
Join Us for another week of Grand Rounds as Visiting Professor Dr. Wilcox guides us through management of hypoxemia respiratory failure in the ED and Visiting Professor Dr. Henwood recounts her experiences with ultrasound in global health.
Vent Management on the Run...
This is a great paper recently presented at the Critical Care Transport Medicine Scientific Forum. It covers a subject area I have always been interested in. Over time, our understanding of critical care has evolved to show the importance of a low tidal volume strategy for ventilating patients, particularly those with lung injury/ARDS. However, even patients with normal lungs are potentially harmed by high tidal volume strategies.