The ideal tidal volume in a patient ventilated for ARDS is-

Correct Answer: 6 mL/kg
Description: The ideal tidal volume in a patient ventilated for ARDS is 6mL/kg predicted body weight.Moality was significantly lower in this low TV patients(31%) compared to the conventional TV (12 mL/kg predicted body weight) ventilation(40%). Despite its life-saving potential mechanical ventilation can aggravate lung injury in severe ARDS patients. Ventilator-induced lung injury arises from two principal mechanisms: Volutrauma from repeated alveolar overdistension from excess tidal volume; Atelectrauma from recurrent alveolar collapse. Reference: Harrison's Medicine,20thedition, page no:203
Category: Medicine
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