Determann

2010 Respiratory
2 ICUs
150 patients

Non-ARDS: high (10ml/kg) vs low (6ml/kg) Vt ventilation (cytokine levels)

Clinical Question

In mechanically ventilated patients without acute lung injury or acute respiratory distress (ALI/ARDS), does lower tidal volume ventilation at 6 ml/kg (Vt-low), compared to conventional tidal volume ventilation at 10 ml/kg (Vt-high), reduce cytokine levels associated with lung injury?

Critical Appraisal

Key findings

Low Vt > dec plasma IL-6. No diff BAL cytokine levels. Stopped early (more ALI in hi Vt)

Population
Adult ICU Patients
Population Details
Not recorded
Intervention Arms

Low volumes
6 ml/kg

Control Arms

High volumes
10 ml/kg

Primary Outcome
Not recorded
Secondary Outcomes
Not recorded
P Value
Not recorded

Outcome Results

Not recorded