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Strategies to minimize Alveolar Stretch Injury during Mechanical Ventilation

  • Conference paper
Yearbook of Intensive Care and Emergency Medicine

Part of the book series: Yearbook of Intensive Care and Emergency Medicine ((YEARBOOK,volume 1996))

Abstract

The potential for positive pressure breaths to injure the lungs has long been appreciated. The best known form of injury occurs when positive pressure breaths grossly overinflate the lungs and result in pneumothorax, pneumomediastinum, subcutaneous emphysema, and other forms of “volutrauma” or “barotrauma” [1–4]. The mechanism for this type of injury is thought to be actual alveolar rupture into the perivascular space with subsequent dissection of air into the mediastinum, pleura and other locations [3–5]. The risk for alveolar overdistension and rupture becomes clinically significant when transalveolar pressures exceed the normal maximum and approach 50–60 cm H2O (Fig. 1).

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Authors
  1. N. R. MacIntyre
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Editors and Affiliations

  1. Department of Intensive Care, Erasme Hospital, Free University of Brussels, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent (Clinical Director) (Clinical Director)

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© 1996 Springer-Verlag Berlin Heidelberg

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MacIntyre, N.R. (1996). Strategies to minimize Alveolar Stretch Injury during Mechanical Ventilation. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine. Yearbook of Intensive Care and Emergency Medicine, vol 1996. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-80053-5_34

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  • DOI: https://doi.org/10.1007/978-3-642-80053-5_34

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-60552-2

  • Online ISBN: 978-3-642-80053-5

  • eBook Packages: Springer Book Archive

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