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Title of Journal: Intensive Care Med

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Abbravation: Intensive Care Medicine

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Springer-Verlag

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DOI

10.1002/chin.201034101

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1432-1238

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Feedback and education improve physician complianc

Authors: Esther K Wolthuis Johanna C Korevaar Peter Spronk Michael A Kuiper Misa Dzoljic Margreeth B Vroom Marcus J Schultz
Publish Date: 2005/02/25
Volume: 31, Issue: 4, Pages: 540-546
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Abstract

Use of lungprotective mechanical ventilation MV by applying lower tidal volumes is recommended in patients suffering from acute lung injury ALI or acute respiratory distress syndrome ARDS Recent data suggest that lungprotective MV may benefit nonALI/ARDS patients as well This study analyzed tidal volume settings in three ICUs in The Netherlands to determine the effect of feedback and education concerning use of lungprotective MVTidal volumes declined significantly within 6 months after intervention from 98±20 at baseline to 81±17 ml/kg PBW as the percentage of undesirable ventilation data points defined as tidal volumes greater than 8 ml/kg PBW 84 vs 48 There were no differences between patients meeting the international definition criteria for ALI/ARDS and those not Only four patients received tidal volumes less than 6 ml/kg PBW Lower tidal volumes were still used after 12 months Tidal volumes in patients on mandatory MV and patients breathing on spontaneous modes were similar

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