Driving pressure and mortality in acute respiratory distress syndrome

Authors

  • Isabel de la Calle Gil MIR. Unidad de Cuidados Intensivos de Anestesia. Hospital Universitario 12 de Octubre. Madrid.
  • Rosalía Navarro Casado Unidad de Cuidados Intensivos de Anestesia. Hospital Universitario 12 de Octubre. Madrid.
  • Raquel García Álvarez Adjunta.Servicio de Anestesiología y Reanimación. Hospital Universitario 12 de Octubre. Madrid https://orcid.org/0000-0002-8813-1384

DOI:

https://doi.org/10.30445/rear.v11i8.765

Keywords:

critical care, mechanical ventilation, adult acute respiratory ditress syndrome

Abstract

Current guidelines for ventilation in patients with acute respiratory distress syndrome (ARDS) recommend lung-protective ventilation: use of low tidal volumes, appropiate  positive end-expiratory pressure and alveolar recruitment maneuvers. However, recent studies have shown that driving pressure could be the variable that best correlated with survival in patients with ARDS.

References

- Hiroko Aoyama, MD, MScCH; Tommaso Pettenuzzo, MD; Kazuyoshi Aoyama, MD, PhD(c), EDIC; Ruxandra Pinto, PhD; Marina Englesakis, MLIS; Eddy Fan, MD, PhD, FRCPC. Association of Driving Pressure With Mortality Among Ventilated Patients With Acute Respiratory Distress Syndrome: A Systematic Review and Meta-Analysis. Critical Care Medicine Journal 2018; 46(2):300-306.

- Giacomo Bellani, MD, PhD; John G. Laffey, MD, MA; Tai Pham, MD; et al. Epidemiology, patterns of care, and mortality for patients with acute respiratory distress síndrome in intensive Care Units in 50 Countries. JAMA 2016; 315(8):788-800.

- Eddy Fan, MD, PhD; Daniel Brodie, MD; Arthur S. Slutsky, MD. Acute respiratoria distress síndrome. Advances in diagnosis and treatment. JAMA 2018;319(7): 698-710.

- Amato MB, Barbas CS, Medeiros DM, Magaldi RB, Schettino GP, Lorenzi-Filho G, Kairalla RA, Deheinzelin D, Munoz C, Oliveira R, Takagaki TY, Carvalho CR. Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med. 1998;338(6):347-54.

- Amato MB, Meade MO, Slutsky AS, Brochard L, Costa EL, Schoenfeld DA, Stewart TE, Briel M, Talmor D, Mercat A, Richard JC, Carvalho CR, Brower RG. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med. 2015;372(8):747-55.

Published

2020-09-10

How to Cite

de la Calle Gil, I., Navarro Casado, R., & García Álvarez, R. (2020). Driving pressure and mortality in acute respiratory distress syndrome. Revista Electrónica AnestesiaR, 11(8), 2. https://doi.org/10.30445/rear.v11i8.765

Issue

Section

Critical reviews of articles