Adrish M, Doppalapudi S, Lvovsky D. Driving pressure decoded: Precision strategies in adult respiratory distress syndrome management. World J Crit Care Med 2024; 13(2): 92441 [PMID: 38855266 DOI: 10.5492/wjccm.v13.i2.92441]
Corresponding Author of This Article
Muhammad Adrish, MD, Associate Professor, Department of Medicine, Baylor College of Medicine, 1504 Taub Loop, Houston, TX 77030, United States. aadrish@hotmail.com
Research Domain of This Article
Critical Care Medicine
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Muhammad Adrish, Department of Medicine, Baylor College of Medicine, Houston, TX 77030, United States
Sai Doppalapudi, Dmitry Lvovsky, Department of Medicine, BronxCare Health System/Icahn School of Medicine at Mount Sinai, Bronx, NY 10467, United States
Author contributions: All authors were involved in conceptualization, data collection, manuscript writing, and final draft revision.
Conflict-of-interest statement: The authors declare no conflict of interest for this manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Muhammad Adrish, MD, Associate Professor, Department of Medicine, Baylor College of Medicine, 1504 Taub Loop, Houston, TX 77030, United States. aadrish@hotmail.com
Received: January 25, 2024 Revised: February 17, 2024 Accepted: April 24, 2024 Published online: June 9, 2024 Processing time: 129 Days and 14.2 Hours
Core Tip
Core Tip: Mechanical ventilation (MV) is an important strategy that both prolong survival of patients and improve their prognosis. However, as MV is associated with ventilator-induced lung injury, strategies to prevent and minimize lung injury in patients are needed. Currently, an increasing number of studies have shown that lowering tidal pressure and increasing positive end-expiratory pressure are beneficial for preventing lung injury. Additionally, there is growing evidence that lowering driving pressure not only preserves gas exchange but also prevents lung injury. Regardless of the technique, there is consensus that strategies to prevent lung injury are needed, and that the ultimate goal of MV should be to provide adequate gas exchange while preventing lung injury.
