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Surg Clin North Am. 2017 Dec;97(6):1381-1397. doi: 10.1016/j.suc.2017.07.006.

Ventilator Strategies for Chronic Obstructive Pulmonary Disease and Acute Respiratory Distress Syndrome.

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Wake Forest Baptist Medical Center, Department of Surgery, Medical Center Boulevard, Winston-Salem, NC 27157, USA. Electronic address:


The management of the ventilator in patients with chronic obstructive pulmonary disease (COPD) and acute respiratory distress syndrome (ARDS) has a dramatic effect on the overall outcome. The incidence of COPD is increasing as the US population grows older. The most effective means to deal with pulmonary complications is to avoid them, but both COPD and ARDS have evidence-based interventions that have been shown to improve outcomes. Pulmonary complications affect up to 40% of patients, and their occurrence is associated with an increased duration of hospital stay, and an increased mortality.


ALI; APRV; ARDS; Airway pressure release ventilation; COPD; Hypoxia; PEEP; Respiratory failure

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