Tuesday, July 3, 2018

MINIMIZING THE RISK OF VOLUTRAUMA

Ideal Body Weight & Tidal Volume Tables[1].

The aim to minimize the risk of volutrauma is associated with the objective to optimize the pressure/volume curve. To accomplish this the clinician targets a minimal tidal volume and optimal PEEP which maximizes compliance and avoids volutrauma as well as atelectrauma.

One strategy to reduce the risk volutrauma is to target a tidal volume of 4 to 6 ml/kg/Ideal body weight per ARDS net guidelines
.
The pictured group of tables "IDEAL BODY WEIGHT & TIDAL VOLUME Per Ml for both genders" [1] provide tidal volume targets of 4,5,& 6 ml/kg/IDBW.

Inputs- Height (inches or centimeters) & Gender.Outputs- Ideal body weight (kg), target tidal volume (4, 5, 6 ml/kg).

Reference
1. Richey KS. Lung Protective Tabulations 2018