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Tidal Volume Reduction in Patients with Acute Lung Injury When Plateau Pressures Are Not High
Open accessAbstract
Use of a volume- and pressure-limited mechanical ventilation strategy improves clinical outcomes of patients with acute lung injury and acute respiratory distress syndrome (ALI/ARDS). However, the extent to which tidal volumes and inspiratory airway pressures should be reduced to optimize clinical outcomes is a controversial topic. This article addresses the question, “Is there a safe upper limit to inspiratory plateau pressure in patients with ALI/ARDS?” We reviewed data from animal models with and without preexisting lung injury, studies of normal human respiratory system mechanics, and the results of five clinical trials of lung-protective mechanical ventilation strategies. We also present an original analysis of data from the largest of the five clinical trials. The available data from each of these assessments do not support the commonly held view that inspiratory plateau pressures of 30 to 35 cm H2O are safe. We could not identify a safe upper limit for plateau pressures in patients with ALI/ARDS.
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“A retrospective study suggested that tidal volumes should be lowered even with plateau pressures ≤ 30 cm H2O [431] because lower plateau pressures were associated with reduced hospital mortality [432].”
From Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021 (2021) · cites this paper as [431]
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Metadata
- Authors
- Hager, D. N., Krishnan, J. A., Hayden, D. L., & Brower, R. G.
- Affiliations
- Johns Hopkins University (US)
- Venue
- American Journal of Respiratory and Critical Care Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-11
- Volume
- 172
- Issue
- 10
- Pages
- 1241-1245
- ISSN
- 1073-449X (ISSN-L)
- 1535-4970
- PMC
- PMC2718413
- OpenAlex
- W2168829312
- Cited by
- 509
- References
- 45
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 12 · 2023: 7 · 2022: 17 · 2021: 28 · 2020: 29 · 2019: 25 · 2018: 16 · 2017: 34 · 2016: 28 · 2015: 34 · 2014: 34 · 2013: 29 · 2012: 30
- FWCI
- 4.59
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Respiratory and Critical Care Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (n01hr046063-006, n01hr046064-009)
- National Heart, Lung, and Blood Institute (K23HL067850, N01-HR-46063, K23-HL67850, P50HL073944, N01-HR46064, F32HL078132)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Nosocomial Infections in ICU
- Keywords
- acute lung injury, acute respiratory distress syndrome, tidal volume reduction, plateau pressure, lung-protective ventilation, pressure-limited ventilation, ventilator-induced lung injury, respiratory mechanics, animal models of lung injury
- MeSH terms
- Animals, Humans, Respiration, Artificial, Respiratory Distress Syndrome, Tidal Volume, Logistic Models, Models, Animal
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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