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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Protective ventilation of patients with acute respiratory distress syndrome. | Available online http ccforum.eom content 8 3 145 Commentary Protective ventilation of patients with acute respiratory distress syndrome Claudia C dos Santos1 and Arthur S Slutsky2 1Clinieal Associate and Post-Doctoral Fellow Interdepartmental Division of Critical Care Medicine and Department of Medicine University of Toronto Toronto and Department of Critical Care Medicine St Michael s Hospital Toronto Ontario Canada 2Vice President Research Department of Critical Care Medicine St Michael s Hospital Toronto Ontario Canada Corresponding author Arthur S Slutsky arthur.slutsky@utoronto.ca Published online 23 April 2004 This article is online at http ccforum.com content 8 3 145 2004 BioMed Central Ltd Critical Care 2004 8 145-147 DOI 10.1186 cc2849 Abstract In a recent issue of the British Journal of Anaesthesia Moloney and Griffiths reviewed clinically pertinent issues surrounding the management of the acute respiratory distress syndrome ARDS patient particularly as it pertains to the treatment of ventilator induced associated lung injury VILI . In addition to highlighting the important observations that have contributed to further our understanding of the relationship between the mechanical ventilator and inflammatory lung injury the authors also offer a concise reappraisal of the clinical strategies used to minimize VILI in ARDS. Special emphasis is placed on the theory of biotrauma which attempts to explain how multi-organ failure may develop in patients who ultimately succumb to this syndrome. Keywords biotrauma lung injury ventilator associated ventilator induced In a recent issue of the British Journal of Anaesthesia Moloney and Griffiths 1 reviewed basic issues surrounding the ongoing debate on ventilator induced associated lung injury VILI and the implications for patient care. The potential importance of VILI biotrauma is not only that it can aggravate ongoing lung injury but also that it may have important systemic consequences and may explain why most .
