![]() ![]() Un total de 382 pacientes, con 6958 configuraciones de ventilador elegibles para protección pulmonar, se clasificaron en bajo (V T medio = 6,7 ml/kg), intermedio (V T medio = 8,9 ml/kg) y alto (V T medio = 11,2 ml/kg). Pacientes con ARDS bajo ventilación invasiva. ÁmbitoĬinco UCI con un total de 130 camas en Taiwán. No se ha estudiado la eficacia de la V T intermedia en el ARDS y es el objetivo de este estudio. La V T intermedia es un escenario común para los pacientes con ARDS y se ha demostrado que es tan eficaz como la V T baja en pacientes sin ARDS. La evidencia solo demuestra que el volumen tidal (V T) bajo supera al alto para el síndrome de dificultad respiratoria aguda (ARDS). ![]() ![]() This conclusion needs verification through clinical trials. Intermediate V T, with its outcomes similar to small V T, is an acceptable option for ventilated ARDS patients. When the intermediate and low V T groups were matched in propensity scores ( n = 66 for each group), their outcomes were also not significantly different. Multivariate analysis revealed high V T was independently associated with 28-D and 90-D mortality, but intermediate V T was not significantly associated with 28-D mortality (HR 1.34, CI 0.92–1.97, P = 0.13) or 90-D mortality. 63%, P = 0.06) or other outcomes such as 90-D mortality, ventilator-free days, ventilator-dependence rate. With similar baseline ARDS and ICU severities, intermediate and low V T groups did not differ in 28-D mortality (47% vs. Totally 382 patients, with 6958 ventilator settings eligible for lung protection, were classified into low (mean V T = 6.7 ml/kg), intermediate (mean V T = 8.9 ml/kg) and high (mean V T = 11.2 ml/kg) V T groups. Patients or participantsĪRDS patients under invasive ventilation. Designįive ICUs with their totally 130 beds in Taiwan. The effectiveness of intermediate V T in ARDS has not been studied and is the objective of this study. Intermediate V T is a common setting for ARDS patients and has been demonstrated as effective as low V T in non-ARDS patients. Evidence only proves low surpasses high tidal volume ( V T) for acute respiratory distress syndrome (ARDS). ![]()
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