Journal article
Critical Care Medicine
JAMA : the journal of the American Medical Association, Vol.270(2), pp.194-196
07/14/1993
DOI: 10.1001/jama.1993.03510020058016
PMID: 8315727
Abstract
The swift growth of the subspecialty of critical care medicine has led to rapid strides in both the understanding of critical illness and its treatment. While many physicians still consider critical care to be dominated by high technology and incisive action, a growing consensus indicates that critically ill patients benefit most from meticulous identification of problems and careful titration of care. Important new developments have occurred regarding ventilatory and circulatory management, including appropriate tidal volumes for mechanical ventilation, the importance of auto-positive end-expiratory pressure (autoPEEP) phenomenon, and whether to maximize oxygen delivery in patients with sepsis.Historically, many physicians have chosen to ventilate patients with tidal volumes (12 to 15 mL/kg) much larger than those measured in spontaneously breathing normal individuals (5 to 8 mL/kg). In part, this derived from the experience of the first physicians to use mechanical ventilation who found that patients felt subjectively more comfortable when given
Details
- Title: Subtitle
- Critical Care Medicine
- Creators
- Gregory A SchmidtLawrence D. H Wood
- Resource Type
- Journal article
- Publication Details
- JAMA : the journal of the American Medical Association, Vol.270(2), pp.194-196
- Publisher
- American Medical Association
- DOI
- 10.1001/jama.1993.03510020058016
- PMID
- 8315727
- ISSN
- 0098-7484
- eISSN
- 1538-3598
- Language
- English
- Date published
- 07/14/1993
- Academic Unit
- Pulmonary, Critical Care, and Occupational Medicine; Internal Medicine
- Record Identifier
- 9984094485102771
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