Volume-targeted ventilation: one size does not fit all. Evidence-based recommendations for successful use.

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  • Author(s): Keszler M;Keszler M
  • Source:
    Archives of disease in childhood. Fetal and neonatal edition [Arch Dis Child Fetal Neonatal Ed] 2019 Jan; Vol. 104 (1), pp. F108-F112. Date of Electronic Publication: 2018 Aug 01.
  • Publication Type:
    Journal Article; Review
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: British Medical Association Country of Publication: England NLM ID: 9501297 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1468-2052 (Electronic) Linking ISSN: 13592998 NLM ISO Abbreviation: Arch Dis Child Fetal Neonatal Ed Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : British Medical Association,
    • Subject Terms:
      Respiration* ; Tidal Volume*; Respiration, Artificial/*methods; Humans ; Infant, Newborn ; Intensive Care Units, Neonatal ; Practice Guidelines as Topic ; Respiration, Artificial/adverse effects ; Ventilator Weaning/methods
    • Abstract:
      Despite level 1 evidence for important benefits of volume-targeted ventilation (VTV), many vulnerable extremely preterm infants continue to be exposed to traditional pressure-controlled ventilation. Lack of suitable equipment and a lack of appreciation of the fact that 'one size does NOT fit all' appear to contribute to the slow uptake of VTV. This review attempts to improve clinicians' understanding of the way VTV works and to provide essential information about evidence-based tidal volume (V T ) targets. Focus on underlying lung pathophysiology, individualised ventilator settings and V T targets are keys to successful use of VTV thereby improving important clinical outcomes.
      Competing Interests: Competing interests: MK received research support and lecture honoraria from Draeger Medical GmbH. The company had no input into the content of this paper.
      (© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
    • Contributed Indexing:
      Keywords: bronchopulmonary dysplasia; individualized patient care; tidal volume; volume-targeted ventilation
    • Publication Date:
      Date Created: 20180803 Date Completed: 20190107 Latest Revision: 20190107
    • Publication Date:
      20221213
    • Accession Number:
      10.1136/archdischild-2017-314734
    • Accession Number:
      30068668