Progress in mechanical ventilation therapy for acute respiratory distress syndrome_West China Medical Journal

Authors：

YANG Zhuo ¹ , ZHANG Lu ² , HUANG Zheng ¹ , ZHONG Ming ¹ , HE Man ¹ ,  LIU Shiping ¹

1. Department of Emergency Medicine, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, P. R. China;
2. Department of Cardiology, Bazhong Hospital of Traditional Chinese Medicine, Bazhong, Sichuan 636000, P. R. China;

Corresponding author：

LIU Shiping, Email: 1994267167@qq.com

Keywords：

Acute respiratory distress syndrome; Mechanical ventilation; Treatment progress

DOI：

10.7507/1002-0179.202001019

Video：

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Acute respiratory distress syndrome is one of the forms of respiratory failure that seriously threaten human life. It has the characteristics of very high morbidity, mortality and hospitalization costs. How to treat acute respiratory distress syndrome to improve the quality of life of patients is particularly important. Mechanical ventilation is an important treatment for acute respiratory distress syndrome. This article will review the progress in mechanical ventilation therapy for acute respiratory distress syndrome, including non-invasive mechanical ventilation and invasive mechanical ventilation (tidal volume, lung recruitment, positive end-expiratory pressure, prone position ventilation, and high-frequency oscillatory ventilation), aiming to provide basis and reference for future exploration of the treatment direction of acute respiratory distress syndrome.

Citation： YANG Zhuo, ZHANG Lu, HUANG Zheng, ZHONG Ming, HE Man, LIU Shiping. Progress in mechanical ventilation therapy for acute respiratory distress syndrome. West China Medical Journal, 2020, 35(11): 1386-1390. doi: 10.7507/1002-0179.202001019 Copy

1.	ARDS Definition Task Force, Ranieri VM, Rubenfeld GD, et al. Acute respiratory distress syndrome: the Berlin definition. JAMA, 2012, 307(23): 2526-2533.
2.	Bellani G, Laffey JG, Pham T, et al. Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. JAMA, 2016, 315(8): 788-800.
3.	Wu C, Chen X, Cai Y, et al. Risk factors associated with acute respiratory distress syndrome and death in patients with coronavirus disease 2019 pneumonia in Wuhan, China. JAMA Intern Med, 2020, 180(7): 934-943.
4.	Fan E, Brodie D, Slutsky AS. Acute respiratory distress syndrome: advances in diagnosis and treatment. JAMA, 2018, 319(7): 698-710.
5.	Sehgal IS, Chaudhuri S, Dhooria S, et al. A study on the role of noninvasive ventilation in mild-to-moderate acute respiratory distress syndrome. Indian J Crit Care Med, 2015, 19(10): 593-599.
6.	Patel BK, Wolfe KS, Pohlman AS, et al. Effect of noninvasive ventilation delivered by helmet vs face mask on the rate of endotracheal intubation in patients with acute respiratory distress syndrome: a randomized clinical trial. JAMA, 2016, 315(22): 2435-2441.
7.	Antonelli M. NIV through the helmet can be used as first-line intervention for early mild and moderate ARDS: an unproven idea thinking out of the box. Crit Care, 2019, 23(Suppl 1): 146.
8.	Nizami MI, Sharma A, Jayaram K. Feasibility of early noninvasive ventilation strategy for patients with acute onset shortness of breath in emergency department - a prospective interventional study. Indian J Crit Care Med, 2019, 23(9): 400-404.
9.	He H, Sun B, Liang L, et al. A multicenter RCT of noninvasive ventilation in pneumonia-induced early mild acute respiratory distress syndrome. Crit Care, 2019, 23(1): 300.
10.	Bellani G, Laffey JG, Pham T, et al. Noninvasive ventilation of patients with acute respiratory distress syndrome. insights from the LUNG SAFE study. Am J Respir Crit Care Med, 2017, 195(1): 67-77.
11.	Duan J, Han X, Bai L, et al. Assessment of heart rate, acidosis, consciousness, oxygenation, and respiratory rate to predict noninvasive ventilation failure in hypoxemic patients. Intensive Care Med, 2017, 43(2): 192-199.
12.	Chawla R, Dixit SB, Zirpe KG, et al. ISCCM guidelines for the use of non-invasive ventilation in acute respiratory failure in adult ICUs. Indian J Crit Care Med, 2020, 24(Suppl 1): S61-S81.
13.	Antonelli M, Conti G, Moro ML, et al. Predictors of failure of noninvasive positive pressure ventilation in patients with acute hypoxemic respiratory failure: a multi-center study. Intensive Care Med, 2001, 27(11): 1718-1728.
14.	Antonelli M, Conti G, Esquinas A, et al. A multiple-center survey on the use in clinical practice of noninvasive ventilation as a first-line intervention for acute respiratory distress syndrome. Crit Care Med, 2007, 35(1): 18-25.
15.	Acute Respiratory Distress Syndrome Network, Brower RG, Matthay MA, et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med, 2000, 342(18): 1301-1308.
16.	Sutherasan Y, Vargas M, Pelosi P. Protective mechanical ventilation in the non-injured lung: review and meta-analysis. Crit Care, 2014, 18(2): 211.
17.	Yoshida T, Fujino Y, Amato MB, et al. Fifty years of research in ARDS. Spontaneous breathing during mechanical ventilation. Risks, mechanisms, and management. Am J Respir Crit Care Med, 2017, 195(8): 985-992.
18.	Moraes L, Silva PL, Thompson A, et al. Impact of different tidal volume levels at low mechanical power on ventilator-induced lung injury in rats. Front Physiol, 2018, 9: 318.
19.	Bein T, Weber-Carstens S, Apfelbacher C, et al. The quality of acute intensive care and the incidence of critical events have an impact on health-related quality of life in survivors of the acute respiratory distress syndrome - a nationwide prospective multicenter observational study. Ger Med Sci, 2020, 18: Doc01.
20.	Lanspa MJ, Peltan ID, Jacobs JR, et al. Driving pressure is not associated with mortality in mechanically ventilated patients without ARDS. Crit Care, 2019, 23(1): 424.
21.	Sahetya SK, Mancebo J, Brower RG. Fifty years of research in ARDS. V_T selection in acute respiratory distress syndrome. AmJ Respir Crit Care Med, 2017, 196(12): 1519-1525.
22.	Pereira Romano ML, Maia IS, Laranjeira LN, et al. Driving pressure-limited strategy for patients with acute respiratory distress syndrome. A pilot randomized clinical trial. Ann Am Thorac Soc, 2020, 17(5): 596-604.
23.	Richard JC, Marque S, Gros A, et al. Feasibility and safety of ultra-low tidal volume ventilation without extracorporeal circulation in moderately severe and severe ARDS patients. Intensive Care Med, 2019, 45(11): 1590-1598.
24.	Combes A, Fanelli V, Pham T, et al. Feasibility and safety of extracorporeal CO2 removal to enhance protective ventilation in acute respiratory distress syndrome: the SUPERNOVA study. Intensive Care Med, 2019, 45(5): 592-600.
25.	Chung FT, Lee CS, Lin SM, et al. Alveolar recruitment maneuver attenuates extravascular lung water in acute respiratory distress syndrome. Medicine (Baltimore), 2017, 96(30): e7627.
26.	Lapinsky SE, Aubin M, Mehta S, et al. Safety and efficacy ofa sustained inflation for alveolar recruitment in adults with respiratory failure. Intensive Care Med, 1999, 25(11): 1297-1301.
27.	Constantin JM, Godet T, Jabaudon M, et al. Recruitment maneuvers in acute respiratory distress syndrome. Ann Transl Med, 2017, 5(14): 290.
28.	Grasso S, Mascia L, Del Turco M, et al. Effects of recruiting maneuvers in patients with acute respiratory distress syndrome ventilated with protective ventilatory strategy. Anesthesiology, 2002, 96(4): 795-802.
29.	Constantin JM, Jabaudon M, Lefrant JY, et al. Personalised mechanical ventilation tailored to lung morphology versus low positive end-expiratory pressure for patients with acute respiratory distress syndrome in France (the LIVE study): a multicentre, single-blind, randomised controlled trial. Lancet Respir Med, 2019, 7(10): 870-880.
30.	Iannuzzi M, De Sio A, De Robertis E, et al. Different patterns of lung recruitment maneuvers in primary acute respiratory distress syndrome: effects on oxygenation and central hemodynamics. Minerva Anestesiol, 2010, 76(9): 692-698.
31.	Ashbaugh DG, Bigelow DB, Petty TL, et al. Acute respiratory distress in adults. Lancet, 1967, 2(7511): 319-323.
32.	郭俊, 徐景龙. PEEP水平选择对俯卧位通气重度ARDS患者肺复张效果和炎性因子的影响. 中华危重病急救医学, 2020, 32(6): 702-706.
33.	Bellani G, Guerra L, Musch G, et al. Lung regional metabolic activity and gas volume changes induced by tidal ventilation in patients with acute lung injury. Am J Respir Crit Care Med, 2011, 183(9): 1193-1199.
34.	Sahetya SK, Goligher EC, Brower RG. Fifty years of research in ARDS. Setting positive end-expiratory pressure in acute respiratory distress syndrome. Am J Respir Crit Care Med, 2017, 195(11): 1429-1438.
35.	Writing Group for the Alveolar Recruitment for Acute Respiratory Distress Syndrome Trial (ART) Investigators, Cavalcanti AB, Suzumura ÉA, et al. Effect of lung recruitment and titrated positive end-expiratory pressure (PEEP) vs low PEEP on mortality in patients with acute respiratory distress syndrome: a randomized clinical trial. JAMA, 2017, 318(14): 1335-1345.
36.	Guo L, Xie J, Huang Y, et al. Higher PEEP improves outcomes in ARDS patients with clinically objective positive oxygenation response to PEEP: a systematic review and meta-analysis. BMC Anesthesiol, 2018, 18(1): 172.
37.	Munshi L, Del Sorbo L, Adhikari NKJ, et al. Prone position for acute respiratory distress syndrome. a systematic review and meta-analysis. Ann Am Thorac Soc, 2017, 14(Supplement_4): S280-S288.
38.	Gattinoni L, Taccone P, Carlesso E, et al. Prone position in acute respiratory distress syndrome. Rationale, indications, and limits. Am J Respir Crit Care Med, 2013, 188(11): 1286-1293.
39.	Setten M, Plotnikow GA, Accoce M. Prone position in patients with acute respiratory distress syndrome. Rev Bras Ter Intensiva, 2016, 28(4): 452-462.
40.	Dalla Corte F, Mauri T, Spinelli E, et al. Dynamic bedside assessment of the physiologic effects of prone position in acute respiratory distress syndrome patients by electrical impedance tomography. Minerva Anestesiol, 2020, 86(10): 1057-1064.
41.	Scholten EL, Beitler JR, Prisk GK, et al. Treatment of ARDS with prone positioning. Chest, 2017, 151(1): 215-224.
42.	Wieslander B, Ramos JG, Ax M, et al. Supine, prone, right and left gravitational effects on human pulmonary circulation. J Cardiovasc Magn Reson, 2019, 21(1): 69.
43.	Kallet RH. A comprehensive review of prone position in ARDS. Respir Care, 2015, 60(11): 1660-1687.
44.	Gattinoni L, Busana M, Giosa L, et al. Prone positioning in acute respiratory distress syndrome. Semin Respir Crit Care Med, 2019, 40(1): 94-100.
45.	Marini JJ, Josephs SA, Mechlin M, et al. Should early prone positioning be a standard of care in ARDS with refractory hypoxemia?. Respir Care, 2016, 61(6): 818-829.
46.	Sklar MC, Fan E, Goligher EC. High-frequency oscillatory ventilation in adults with ARDS: past, present, and future. Chest, 2017, 152(6): 1306-1317.
47.	Sud S, Sud M, Friedrich JO, et al. High-frequency oscillatory ventilation versus conventional ventilation for acute respiratory distress syndrome. Cochrane Database Syst Rev, 2016, 4(4): CD004085.
48.	Meade MO, Young D, Hanna S, et al. Severity of hypoxemia and effect of high-frequency oscillatory ventilation in acute respiratory distress syndrome. Am J Respir Crit Care Med, 2017, 196(6): 727-733.

1. ARDS Definition Task Force, Ranieri VM, Rubenfeld GD, et al. Acute respiratory distress syndrome: the Berlin definition. JAMA, 2012, 307(23): 2526-2533.
2. Bellani G, Laffey JG, Pham T, et al. Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. JAMA, 2016, 315(8): 788-800.
3. Wu C, Chen X, Cai Y, et al. Risk factors associated with acute respiratory distress syndrome and death in patients with coronavirus disease 2019 pneumonia in Wuhan, China. JAMA Intern Med, 2020, 180(7): 934-943.
4. Fan E, Brodie D, Slutsky AS. Acute respiratory distress syndrome: advances in diagnosis and treatment. JAMA, 2018, 319(7): 698-710.
5. Sehgal IS, Chaudhuri S, Dhooria S, et al. A study on the role of noninvasive ventilation in mild-to-moderate acute respiratory distress syndrome. Indian J Crit Care Med, 2015, 19(10): 593-599.
6. Patel BK, Wolfe KS, Pohlman AS, et al. Effect of noninvasive ventilation delivered by helmet vs face mask on the rate of endotracheal intubation in patients with acute respiratory distress syndrome: a randomized clinical trial. JAMA, 2016, 315(22): 2435-2441.
7. Antonelli M. NIV through the helmet can be used as first-line intervention for early mild and moderate ARDS: an unproven idea thinking out of the box. Crit Care, 2019, 23(Suppl 1): 146.
8. Nizami MI, Sharma A, Jayaram K. Feasibility of early noninvasive ventilation strategy for patients with acute onset shortness of breath in emergency department - a prospective interventional study. Indian J Crit Care Med, 2019, 23(9): 400-404.
9. He H, Sun B, Liang L, et al. A multicenter RCT of noninvasive ventilation in pneumonia-induced early mild acute respiratory distress syndrome. Crit Care, 2019, 23(1): 300.
10. Bellani G, Laffey JG, Pham T, et al. Noninvasive ventilation of patients with acute respiratory distress syndrome. insights from the LUNG SAFE study. Am J Respir Crit Care Med, 2017, 195(1): 67-77.
11. Duan J, Han X, Bai L, et al. Assessment of heart rate, acidosis, consciousness, oxygenation, and respiratory rate to predict noninvasive ventilation failure in hypoxemic patients. Intensive Care Med, 2017, 43(2): 192-199.
12. Chawla R, Dixit SB, Zirpe KG, et al. ISCCM guidelines for the use of non-invasive ventilation in acute respiratory failure in adult ICUs. Indian J Crit Care Med, 2020, 24(Suppl 1): S61-S81.
13. Antonelli M, Conti G, Moro ML, et al. Predictors of failure of noninvasive positive pressure ventilation in patients with acute hypoxemic respiratory failure: a multi-center study. Intensive Care Med, 2001, 27(11): 1718-1728.
14. Antonelli M, Conti G, Esquinas A, et al. A multiple-center survey on the use in clinical practice of noninvasive ventilation as a first-line intervention for acute respiratory distress syndrome. Crit Care Med, 2007, 35(1): 18-25.
15. Acute Respiratory Distress Syndrome Network, Brower RG, Matthay MA, et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med, 2000, 342(18): 1301-1308.
16. Sutherasan Y, Vargas M, Pelosi P. Protective mechanical ventilation in the non-injured lung: review and meta-analysis. Crit Care, 2014, 18(2): 211.
17. Yoshida T, Fujino Y, Amato MB, et al. Fifty years of research in ARDS. Spontaneous breathing during mechanical ventilation. Risks, mechanisms, and management. Am J Respir Crit Care Med, 2017, 195(8): 985-992.
18. Moraes L, Silva PL, Thompson A, et al. Impact of different tidal volume levels at low mechanical power on ventilator-induced lung injury in rats. Front Physiol, 2018, 9: 318.
19. Bein T, Weber-Carstens S, Apfelbacher C, et al. The quality of acute intensive care and the incidence of critical events have an impact on health-related quality of life in survivors of the acute respiratory distress syndrome - a nationwide prospective multicenter observational study. Ger Med Sci, 2020, 18: Doc01.
20. Lanspa MJ, Peltan ID, Jacobs JR, et al. Driving pressure is not associated with mortality in mechanically ventilated patients without ARDS. Crit Care, 2019, 23(1): 424.
21. Sahetya SK, Mancebo J, Brower RG. Fifty years of research in ARDS. V_T selection in acute respiratory distress syndrome. AmJ Respir Crit Care Med, 2017, 196(12): 1519-1525.
22. Pereira Romano ML, Maia IS, Laranjeira LN, et al. Driving pressure-limited strategy for patients with acute respiratory distress syndrome. A pilot randomized clinical trial. Ann Am Thorac Soc, 2020, 17(5): 596-604.
23. Richard JC, Marque S, Gros A, et al. Feasibility and safety of ultra-low tidal volume ventilation without extracorporeal circulation in moderately severe and severe ARDS patients. Intensive Care Med, 2019, 45(11): 1590-1598.
24. Combes A, Fanelli V, Pham T, et al. Feasibility and safety of extracorporeal CO2 removal to enhance protective ventilation in acute respiratory distress syndrome: the SUPERNOVA study. Intensive Care Med, 2019, 45(5): 592-600.
25. Chung FT, Lee CS, Lin SM, et al. Alveolar recruitment maneuver attenuates extravascular lung water in acute respiratory distress syndrome. Medicine (Baltimore), 2017, 96(30): e7627.
26. Lapinsky SE, Aubin M, Mehta S, et al. Safety and efficacy ofa sustained inflation for alveolar recruitment in adults with respiratory failure. Intensive Care Med, 1999, 25(11): 1297-1301.
27. Constantin JM, Godet T, Jabaudon M, et al. Recruitment maneuvers in acute respiratory distress syndrome. Ann Transl Med, 2017, 5(14): 290.
28. Grasso S, Mascia L, Del Turco M, et al. Effects of recruiting maneuvers in patients with acute respiratory distress syndrome ventilated with protective ventilatory strategy. Anesthesiology, 2002, 96(4): 795-802.
29. Constantin JM, Jabaudon M, Lefrant JY, et al. Personalised mechanical ventilation tailored to lung morphology versus low positive end-expiratory pressure for patients with acute respiratory distress syndrome in France (the LIVE study): a multicentre, single-blind, randomised controlled trial. Lancet Respir Med, 2019, 7(10): 870-880.
30. Iannuzzi M, De Sio A, De Robertis E, et al. Different patterns of lung recruitment maneuvers in primary acute respiratory distress syndrome: effects on oxygenation and central hemodynamics. Minerva Anestesiol, 2010, 76(9): 692-698.
31. Ashbaugh DG, Bigelow DB, Petty TL, et al. Acute respiratory distress in adults. Lancet, 1967, 2(7511): 319-323.
32. 郭俊, 徐景龙. PEEP水平选择对俯卧位通气重度ARDS患者肺复张效果和炎性因子的影响. 中华危重病急救医学, 2020, 32(6): 702-706.
33. Bellani G, Guerra L, Musch G, et al. Lung regional metabolic activity and gas volume changes induced by tidal ventilation in patients with acute lung injury. Am J Respir Crit Care Med, 2011, 183(9): 1193-1199.
34. Sahetya SK, Goligher EC, Brower RG. Fifty years of research in ARDS. Setting positive end-expiratory pressure in acute respiratory distress syndrome. Am J Respir Crit Care Med, 2017, 195(11): 1429-1438.
35. Writing Group for the Alveolar Recruitment for Acute Respiratory Distress Syndrome Trial (ART) Investigators, Cavalcanti AB, Suzumura ÉA, et al. Effect of lung recruitment and titrated positive end-expiratory pressure (PEEP) vs low PEEP on mortality in patients with acute respiratory distress syndrome: a randomized clinical trial. JAMA, 2017, 318(14): 1335-1345.
36. Guo L, Xie J, Huang Y, et al. Higher PEEP improves outcomes in ARDS patients with clinically objective positive oxygenation response to PEEP: a systematic review and meta-analysis. BMC Anesthesiol, 2018, 18(1): 172.
37. Munshi L, Del Sorbo L, Adhikari NKJ, et al. Prone position for acute respiratory distress syndrome. a systematic review and meta-analysis. Ann Am Thorac Soc, 2017, 14(Supplement_4): S280-S288.
38. Gattinoni L, Taccone P, Carlesso E, et al. Prone position in acute respiratory distress syndrome. Rationale, indications, and limits. Am J Respir Crit Care Med, 2013, 188(11): 1286-1293.
39. Setten M, Plotnikow GA, Accoce M. Prone position in patients with acute respiratory distress syndrome. Rev Bras Ter Intensiva, 2016, 28(4): 452-462.
40. Dalla Corte F, Mauri T, Spinelli E, et al. Dynamic bedside assessment of the physiologic effects of prone position in acute respiratory distress syndrome patients by electrical impedance tomography. Minerva Anestesiol, 2020, 86(10): 1057-1064.
41. Scholten EL, Beitler JR, Prisk GK, et al. Treatment of ARDS with prone positioning. Chest, 2017, 151(1): 215-224.
42. Wieslander B, Ramos JG, Ax M, et al. Supine, prone, right and left gravitational effects on human pulmonary circulation. J Cardiovasc Magn Reson, 2019, 21(1): 69.
43. Kallet RH. A comprehensive review of prone position in ARDS. Respir Care, 2015, 60(11): 1660-1687.
44. Gattinoni L, Busana M, Giosa L, et al. Prone positioning in acute respiratory distress syndrome. Semin Respir Crit Care Med, 2019, 40(1): 94-100.
45. Marini JJ, Josephs SA, Mechlin M, et al. Should early prone positioning be a standard of care in ARDS with refractory hypoxemia?. Respir Care, 2016, 61(6): 818-829.
46. Sklar MC, Fan E, Goligher EC. High-frequency oscillatory ventilation in adults with ARDS: past, present, and future. Chest, 2017, 152(6): 1306-1317.
47. Sud S, Sud M, Friedrich JO, et al. High-frequency oscillatory ventilation versus conventional ventilation for acute respiratory distress syndrome. Cochrane Database Syst Rev, 2016, 4(4): CD004085.
48. Meade MO, Young D, Hanna S, et al. Severity of hypoxemia and effect of high-frequency oscillatory ventilation in acute respiratory distress syndrome. Am J Respir Crit Care Med, 2017, 196(6): 727-733.

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