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Non-conventional mechanical ventilation in severe ARDS, illustrated by a complicated case
J E Tulleken1, T S van der Werf, J J Ligtenberg
1Department of Internal Medicine, Groningen University Hospital, The Netherlands. tulleken@int.azg.nl
The Netherlands Journal of Medicine
|December 16, 1998
Abstract:
When conventional respiratory strategies fail to maintain adequate oxygenation treatment of severe ARDS is largely empirical. Modern techniques such as inverse ratio ventilation, permissive hypercapnia, NO inhalation and lowering tidal volumes/pressures are advocated. We report on a patient with severe ARDS who showed all the complications of the disease. The risks and benefits of (non)conventional ventilatory strategies are discussed and illustrated.