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Use of Hypothermia to Allow Low-Tidal-Volume Ventilation in a Patient With ARDS

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Abstract:

Low-tidal-volume ventilation reduces mortality in patients with ARDS, but there are often challenges in implementing lung-protective ventilation, such as acidosis from hypercapnia. In a patient with severe ARDS we achieved adequate ventilation with a very low tidal volume (4 mL/kg ideal body weight) by inducing mild hypothermia (body temperature 35‐36°C).

Keywords: ARDS; acute respiratory distress syndrome; hypothermia; lung-protective ventilation; mechanical ventilation; permissive hypercapnia; tidal volume

Document Type: Research Article

DOI: http://dx.doi.org/10.4187/respcare.01211

Affiliations: Surgical Intensive Care Unit, Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA

Publication date: December 1, 2011

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