RT Journal Article
SR Electronic
T1 Volume-targeted ventilation: one size does not fit all. Evidence-based recommendations for successful use
JF Archives of Disease in Childhood - Fetal and Neonatal Edition
JO Arch Dis Child Fetal Neonatal Ed
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP F108
OP F112
DO 10.1136/archdischild-2017-314734
VO 104
IS 1
A1 Martin Keszler
YR 2019
UL http://fn.bmj.com/content/104/1/F108.abstract
AB 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 (VT) targets. Focus on underlying lung pathophysiology, individualised ventilator settings and VTtargets are keys to successful use of VTV thereby improving important clinical outcomes.