Lung protective strategy in acute respiratory distress syndrome:current status and new understanding / 中华实用儿科临床杂志

ABSTRACT

For the last 20 years,lung protective strategy which comprises of low tidal volume,higher positive end expiratory pressure,and limited plateau pressure has become a standard care for acute respiratory distress syndrome (ARDS),but still do not know the best way to ventilate patients with ARDS.This article reviews clinical trials related to lung protective strategy published in recent years and give some suggestions in optimal mechanical ventilation.In addition,the article also introduces some concept of ventilator related lung injury and new understanding in lung protective strategy using stress and strain theory.