Lung Protection

Compendium

Compendium of Evidence 5.0

Target tidal volumes at 3 ml/kg IBW

 

Reduction of Ventilation Parameters

Parameters after four hours

True Lung Protection

Every respiratory cycle is associated with the potential for additional barotrauma and volutrauma, which can further damage the lung. This is why it is extremely important to follow a targeted ultra-protective ventilation strategy. Tidal volumes in particular can be drastically reduced by using the iLA Membrane Ventilator®.

One result is that result inflammatory reactions can be reduced significantly. Along with the use of the lowest possible tidal volumes the following strategies for true lung protection should also be considered:

• Maintenance of spontaneous breathing
• Avoidance of intubation
• Early induction of spontaneous breathing / pressure-assisted ventilation
• Respiratory rate ≤ 12min-1
• Pressure amplitude ≤ 15 cmH2O

The iLA Membrane Ventilator® enables the reduction of the further parameters of lung stress in the shortest possible time.
 
It has been shown that when these therapeutic options are pursued to the fullest extent, sedation can be reduced and early spontaneous breathing can be supported, even when mechanical ventilation is not completely eliminated.

[1] Brunkhorst et al., Crit Care Med 2008; 36:2719-2725.
[2] ARDSnet, N Engl J Med 2000; 342:1301-1308.
[3] Bein et al., Anaesthesia 2009; 64:195-198.