Protective mechanical ventilation in United Kingdom critical care units: A multicentre audit.
J Intensive Care Soc
; 18(2): 106-112, 2017 May.
Article
em En
| MEDLINE
| ID: mdl-28979556
ABSTRACT
Lung protective ventilation is becoming increasingly used for all critically ill patients being mechanically ventilated on a mandatory ventilator mode. Compliance with the universal application of this ventilation strategy in intensive care units in the United Kingdom is unknown. This 24-h audit of ventilation practice took place in 16 intensive care units in two regions of the United Kingdom. The mean tidal volume for all patients being ventilated on a mandatory ventilator mode was 7.2(±1.4) ml kg-1 predicted body weight and overall compliance with low tidal volume ventilation (≤6.5 ml kg-1 predicted body weight) was 34%. The mean tidal volume for patients ventilated with volume-controlled ventilation was 7.0(±1.2) ml kg-1 predicted body weight and 7.9(±1.8) ml kg-1 predicted body weight for pressure-controlled ventilation (P < 0.0001). Overall compliance with recommended levels of positive end-expiratory pressure was 72%. Significant variation in practice existed both at a regional and individual unit level.
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Base de dados:
MEDLINE
Idioma:
En
Revista:
J Intensive Care Soc
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Reino Unido