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  • Title: Ventilatory strategies in the management of the adult respiratory distress syndrome.
    Author: Stoller JK, Kacmarek RM.
    Journal: Clin Chest Med; 1990 Dec; 11(4):755-72. PubMed ID: 2269000.
    Abstract:
    This article review available strategies for mechanically ventilating patients with the adult respiratory distress syndrome. The authors first present the conventional strategies of mechanical ventilation: volume-limited mechanical ventilation with positive end-expiratory pressure (PEEP) at normal inspiratory-expiratory ratios, the approach that has been the mainstay of ventilatory support since the initial description of PEEP. This discussion attempts to summarize the rationale and goals of treatment in a practical, clinically useful manner. The second section of the article reviews less conventional ventilatory approaches, including inverse ratio ventilation, extracorporeal techniques, high-frequency ventilation, prone position, and fluctuating PEEP, and attempts to review critically the available literature regarding their application.
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