Nghiên cứu hiệu quả của thông khí bảo vệ phổi theo phương thức kiểm soát thể tích và áp lực trong điều trị hội chứng suy hô hấp cấp tiến triển ở bệnh nhân bỏng nặng

Aims: Assessment the effects of the protective ventilation strategy with pressure or volume controlled ventilation for acute respiratory distress syndrome in severe burns patients. Objective and Methods: A prospective study was conducted on 45 ARDS burn patients, admitted at Burn ICU, National Institute of Burns from 9/112010 to 26/11/2011. ARDS was diagnosed as guideline of European American consensus conference (1994). Patients with ARDS was ventilated as protective strategy and divided into two groups. Group 1 with volume controlled ventilation (VCV) and group 2 with pressure controlled ventilation (PVC). Result:The ssuccessful rate of PVC group was 50 percent and VCV group was 42.86 percent, but not reaching significantly, p 0.05. Morlality rate was 75 percent in PCV, and 76.19 percent VCV. The multiple organ failure was common cause of death.