Is acute respiratory distress syndrome an iatrogenic disease?

Abstract:

:In this month's issue of Critical Care, Determann and colleagues report the results of a randomized controlled trial comparing the effects of mechanical ventilation (MV) with two tidal volumes (6 versus 10 ml/kg predicted body weight) on cytokine levels in lung lavage fluid and plasma as a surrogate for early identification of acute lung injury (ALI) and/or acute respiratory distress syndrome (ARDS). The study was stopped early after an interim analysis - when 150 patients were enrolled - showing that the incidence of ALI/ARDS according to the current definition was 10.9% higher in the 10 ml/kg group, although duration of MV and mortality was similar in both groups. We examine these interesting results after providing a brief historical perspective and discuss the limitations and implications of the study.

journal_name

Crit Care

authors

Villar J,Slutsky AS

doi

10.1186/cc8842

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

120

issue

1

eissn

1364-8535

issn

1466-609X

pii

cc8842

journal_volume

14

pub_type

社论
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