Mechanical ventilation in an airborne epidemic.

Journal Article (Journal Article;Review)

With the increasing threat of pandemic influenza and catastrophic bioterrorism, it is important for intensive care providers to be prepared to meet the challenge of large-scale airborne epidemics causing mass casualty respiratory failure. The severe acute respiratory syndrome outbreak exposed the vulnerability of health care workers and highlighted the importance of establishing stringent infection control and crisis management protocols. Patients who have acute lung injury and acute respiratory distress syndrome who require mechanical ventilation should receive a lung protective, low tidal volume strategy. Controversy remains regarding the use of high-frequency oscillatory ventilation and noninvasive positive pressure ventilation. Standard, contact, and airborne precautions should be instituted in intensive care units, with special care taken when aerosol-generating procedures are performed.

Full Text

Duke Authors

Cited Authors

  • Phua, G-C; Govert, J

Published Date

  • June 2008

Published In

Volume / Issue

  • 29 / 2

Start / End Page

  • 323 - vii

PubMed ID

  • 18440440

Pubmed Central ID

  • PMC7131232

International Standard Serial Number (ISSN)

  • 0272-5231

Digital Object Identifier (DOI)

  • 10.1016/j.ccm.2008.01.001


  • eng

Conference Location

  • United States