M McCunn, MD, MIPP, (USA)
A Sutcliffe, MBChB, FRCA, (United Kindgdom)
W Mauritz, MD, PhD (Austria)
and the ITACCS Critical Care Committee*
Premise: Patients suffering severe trauma are at high risk of developing respiratory failure: both Acute Lung Injury (ALI) and the Acute Respiratory Distress Syndrome (ARDS) (appendix 1). Management strategies for these patients should begin upon arrival to the trauma center/emergency department by initially identifying who is most likely to develop severe respiratory insufficiency. The goal is to institute therapies early (eg. "open lung" or "protective" lung ventilation) in the emergency room, operating room and in the intensive care unit in an effort to lessen the degree or to prevent the formation of atelectasis and /or parenchymal damage to the lung.
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