Guide to Lung-Protective Ventilation in Cardiac Patients

J Card Fail. 2024 Jun;30(6):829-837. doi: 10.1016/j.cardfail.2024.01.018. Epub 2024 Mar 19.

Abstract

The incidence of acute respiratory insufficiency has continued to increase among patients admitted to modern-day cardiovascular intensive care units. Positive pressure ventilation (PPV) remains the mainstay of treatment for these patients. Alterations in intrathoracic pressure during PPV has distinct effects on both the right and left ventricles, affecting cardiovascular performance. Lung-protective ventilation (LPV) minimizes the risk of further lung injury through ventilator-induced lung injury and, hence, an understanding of LPV and its cardiopulmonary interactions is beneficial for cardiologists.

Publication types

  • Review

MeSH terms

  • Humans
  • Positive-Pressure Respiration / methods
  • Practice Guidelines as Topic
  • Respiration, Artificial* / adverse effects
  • Respiration, Artificial* / methods
  • Respiratory Insufficiency / etiology
  • Respiratory Insufficiency / therapy
  • Ventilator-Induced Lung Injury / prevention & control