[TJS3] TSCCM-JSICM Symposium3
Mechanical ventilation

[TJS3-3] Spontaneous breathing in ARDS

Takeshi Yoshida (The Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine, Japan)

【 ライブ配信】

Facilitating spontaneous breathing has been traditionally recommended during mechanical ventilation in ARDS. However, early, short-term use of neuromuscular blockade appears to improve survival, and spontaneous effort has been shown to potentiate lung injury as well as diaphragm injury in animal and clinical studies. Recently, such effort-dependent lung injury has been termed Patient Self-Inflicted Lung Injury (P-SILI). I will update and summarize the role of spontaneous breathing during mechanical ventilation in ARDS, which can be beneficial or deleterious, depending on the strength of spontaneous activity and severity of lung injury.