I will write more about this in the next blog, but the concept of driving pressure ( Pdr = Vt/Crs- Vt; tidal volume, Crs; compliance respiratory system ) is important in VILI and is and independent risk factor. Just ventilating at 6 ml/kg does not assure decreased risk of VILI if done with Pdr> 12. This is an important bedside concept we will need to incorporate in our clinical thinking.
The following presentation is a nice and simple introduction:
Driving Pressure in ARDS
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