Mechanical power of ventilation and driving pressure: two undervalued parameters for pre extracorporeal membrane oxygenation ventilation and during daily management?

Mechanical power of ventilation and driving pressure: two undervalued parameters for pre extracorporeal membrane oxygenation ventilation and during daily management?

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Abstract The current ARDS Easy-Up Ten Arm Vertical Saddle Pad Rack guidelines highly recommend lung protective ventilation which include plateau pressure (P plat 5 cm H2O) and tidal volume (V t of 6 ml/kg) of predicted body weight.In contrast, the ELSO guidelines suggest the evaluation of an indication of veno-venous extracorporeal membrane oxygenation (ECMO) due to hypoxemic or hypercapnic respiratory failure or as bridge to lung transplantation.Finally, these recommendations remain a wide range Siemens BF525LMS0B IQ-500 800 Watt Microwave Built In Stainless Steel of scope of interpretation.However, particularly patients with moderate-severe to severe ARDS might benefit from strict adherence to lung protective ventilation strategies.Subsequently, we discuss whether extended physiological ventilation parameter analysis might be relevant for indication of ECMO support and can be implemented during the daily routine evaluation of ARDS patients.

Particularly, this viewpoint focus on driving pressure and mechanical power.