Ventilasi Mekanik pada Acute Respiratory Distress Syndrome

Oleh :

dr. Hendra Gunawan SpPD

Ventilasi mekanik sangat sering dibutuhkan dalam tata laksana acute respiratory distress syndrome (ARDS). Inflamasi pada ARDS terjadi akut pada kapiler alveoli, sehingga terjadi gangguan pertukaran oksigen yang berat. Ventilasi mekanik dibutuhkan untuk menjamin pertukaran gas terjadi secara optimal. Namun, penggunaan ventilasi mekanik harus berhati-hati, karena dapat menyebabkan jejas pada paru dan gagal organ multipel.[1-4]

Acute respiratory distress syndrome (ARDS) adalah kondisi yang banyak ditemukan terutama pada intensive care unit (ICU), dengan mortalitas antara 27‒45%. ARDS dapat disebabkan oleh berbagai faktor, dengan etiologi tersering adalah pneumonia, termasuk COVID-19. Ventilasi mekanik merupakan tulang punggung dari manajemen ARDS.[1-3]

Volume Tidal dan Frekuensi Napas

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Referensi

1.ARDS Definition Task Force, Ranieri V, Rubenfeld G, et al. Acute respiratory distress syndrome: the Berlin Definition. JAMA. 2012;307(23):2526-33.
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4.Sklar MC, Patel BK, et al. Optimal Ventilator Strategies in Acute Respiratory Distress Syndrome. Seminars in Respiratory and Critical Care Medicine. 2019;40(1):081-93.
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