The NIH Adult Respiratory Distress Syndrome (ARDS) Network developed a ventilator strategy using a lower tidal volume.
ventilator mode: volume assist/control
target tidal volume: 6 mL/kg
minimum tidal volume: 4 mL/kg
maximum tidal volume: 8 mL/kg
The ideal body weight based on height and gender (see Chapter 2) and not the actual body weight is used to calculate the tidal volume.
target inspiratory plateau pressure: 25 to 30 cm H2O
|
Inspiratory Plateau Pressure
|
Adjustment to Tidal Volume
|
|
< 25 cm H2O
|
increase tidal volume by 1 mL per kg
|
|
25 to 30 cm H2O
|
maintain current tidal volume
|
|
> 30 cm H2)
|
reduce tidal volume by 1 mL per kg
|
