N Engl J Med May 2000 PMID 10793162

Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome.

Mentions

195
Peak: 18 in Apr 2020
across 7 sources since Mar 2019

Extended reach

1,448,600
potential audience

Total likes

287

Video views

590

Mentions per month

Mar 2019 – Oct 2025

Where it's discussed

  • X / Twitter123 posts
  • News48 articles
  • Blogs16 articles
  • Facebook3 posts
  • YouTube2 videos
  • Reddit2 posts
  • Bluesky1 posts

AI synopsis

What people are saying

The discussions demonstrate a collective recognition of the landmark 2000 ARDSNet trial and subsequent research emphasizing lower tidal volumes, with posts describing it as a 'paradigm shift' and 'most important study' in critical care. The tone is respectful and enthusiastic, citing specific trials and clinical practices, indicating that the publication has profoundly impacted both knowledge and patient management approaches in respiratory medicine.

AgreementStrong agreement

Most discussions strongly support the significance of lower tidal volume strategies based on foundational studies like the ARDSNet trial.

InterestHigh interest

Posts express high interest by referencing historical and recent research, emphasizing the importance of this ventilation approach.

EngagementHigh engagement

Many posts delve into methodological details, historical context, and clinical implications, reflecting deep engagement.

ImpactHigh impact

The discussions highlight the transformative influence of the study on intensive care practices and patient outcomes worldwide.

Abstract in brief

  • A clinical trial compared traditional ventilation with higher tidal volumes (10-15 ml/kg) to lower tidal volumes (6 ml/kg) in patients with acute lung injury and ARDS, finding that lower tidal volumes reduced mortality and increased days off ventilator.
  • The study was stopped early because patients receiving lower tidal volumes had a significantly lower death rate (31% vs. 39.8%) and spent more days breathing without assistance, indicating better outcomes with gentler ventilation.
  • Results showed that lower tidal volume treatment resulted in lower plateau pressures and less lung stretch, suggesting that minimizing lung injury during ventilation improves survival in these patients.]

Top posts

Most liked on X and Bluesky
Diego Ketamino
@DiegoEscarraman · X

Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and the Acute Respiratory Distress Syndrome Publicado en @NEJM el https://t.co/acCeO27rnM

Jun 30, 2024 · 65 likes · 21 shares · 12,007 followers View post →
David Furfaro
@david_furfaro · X

2/Covid causes ARDS. The cornerstone of ARDS management is lung protective ventilation → reduce mechanical stress on the lung → minimize ventilator-induced lung injury. The landmark ARMA trial showed lower tidal volume ventilation helps in this effort https://t.co/MBybOQJC6K

Apr 21, 2020 · 28 likes · 5 shares · 3,178 followers View post →
Joanna Poole
@Jopo_dr · X

A short history of ventilation in ARDS: in 2000 ARDSNET published landmark study showing tidal volumes of 6ml/kg better than 12ml/kg for mortality and ventilator days. Been proven again. #FOAMcovid https://t.co/VxK4vPV9bs

May 12, 2020 · 19 likes · 6 shares · 23,190 followers View post →
Alvaro M. Herrera
@iAMDrBrightside · X

Hoy volví a hablar de investigación, en el taller de lectura crítica de artículos científicos para los nuevos residentes, me encanta. Iniciamos con un clásico. https://t.co/b6euMDoIXT

Mar 17, 2021 · 19 likes · 1 share · 5,164 followers View post →
IMCrit
@IM_Crit_ · X

Thanks for reading! References: 1. https://t.co/gLluaxsHyI 2. https://t.co/exupaPT7Hz 3. https://t.co/UF3lV3jdt5 4. https://t.co/us3T9b0RKM

May 4, 2023 · 15 likes · 2 shares · 58,118 followers View post →
NEJM
@NEJM · X

From the #NEJMArchive: Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and the Acute Respiratory Distress Syndrome (May 4, 2000) https://t.co/WppIJ8uUJH https://t.co/ccXFKBjvZl

May 6, 2019 · 14 likes · 14 shares · 932,969 followers View post →

All mentions

【公式】自治医科大学附属さいたま医療センター 麻酔科・集中治療部
@jichisaitamaicu · X

TV/PBWが6-8mL/kgという考え方はそもそも2000年のARMAstudy周辺から始まった概念でした。しかし実肺容量から外れる事も多く、標準化にはPFVCがいいかもしれない?という発想から今回の研究は行われてますhttps://t.co/8ftopmZJ7f PFVCは身長、性別に加えて年齢と人種も利用https://t.co/WhF9ajyAsG

Oct 10, 2025 · 1 like · 2,636 followers View post →
Jaime Bermeo
@jaime_b26 · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jul 2, 2024 · 21 shares · 23 followers View post →
Dr TedyGeek
@DrTedyFit · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jul 2, 2024 · 21 shares · 32 followers View post →
Sofiaaredo
@Chiinesse29 · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jul 1, 2024 · 21 shares · 63 followers View post →
LECS
@LuisErnestoCol1 · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jul 1, 2024 · 21 shares · 63 followers View post →
Saldivudi
@herzlich8schoen · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jul 1, 2024 · 21 shares · 15 followers View post →
Alberto
@DrArzola · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jul 1, 2024 · 21 shares · 1,932 followers View post →
Adscritosaurio Rex
@adscritosauri0 · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jul 1, 2024 · 21 shares · 2,630 followers View post →
Mister PandaDoc
@Jairoaguilar27 · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jul 1, 2024 · 21 shares · 1,878 followers View post →
Javier Casas Rodríguez
@casita1981 · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jun 30, 2024 · 21 shares · 377 followers View post →
El Místico CC
@Vader_CC · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jun 30, 2024 · 21 shares · 1,498 followers View post →
MANUEL CIDONCHA
@zidontxa · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jun 30, 2024 · 21 shares · 55 followers View post →
asosaj
@asosaj · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jun 30, 2024 · 21 shares · 381 followers View post →
Caesar De Melniboné
@CesarDMelnibone · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jun 30, 2024 · 21 shares · 123 followers View post →
Hojahipercurva
@aranpena · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jun 30, 2024 · 21 shares · 202 followers View post →
El Master!
@Vicent007799 · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jun 30, 2024 · 21 shares · 143 followers View post →
Dr. Robb Stark antisionista
@luiyikaefe · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jun 30, 2024 · 21 shares · 1,438 followers View post →
Chris Herrera
@ChbetoH · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jun 30, 2024 · 21 shares · 983 followers View post →
Monica Mondragón
@moni05km · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jun 30, 2024 · 21 shares · 18 followers View post →
Orlando RPN
@OrlandoRPN · X

RT @DiegoEscarraman: Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation…

Jun 30, 2024 · 21 shares · 94,105 followers View post →
Diego Ketamino
@DiegoEscarraman · X

Top 3 estudios que nos han enseñado a titular mejor el volumen tidal #AventhoAnestesia #AVENTHO #SMMCE ❶ Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and the Acute Respiratory Distress Syndrome Publicado en @NEJM el https://t.co/acCeO27rnM

Jun 30, 2024 · 65 likes · 21 shares · 12,007 followers View post →
Pharmacy To Dose: The Critical Care Podcast
@PharmacyToDose · X

Winner of the

Apr 3, 2024 · 1 like · 6,831 followers View post →
Pharmacy To Dose: The Critical Care Podcast
@PharmacyToDose · X

Mar 30, 2024 · 1 like · 6,831 followers View post →
Pharmacy To Dose: The Critical Care Podcast
@PharmacyToDose · X

Mar 27, 2024 · 6,831 followers View post →
Pharmacy To Dose: The Critical Care Podcast
@PharmacyToDose · X

Mar 23, 2024 · 6,831 followers View post →
Pharmacy To Dose: The Critical Care Podcast
@PharmacyToDose · X

Mar 20, 2024 · 6,831 followers View post →
Matt L
@LLl41622309 · X

Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and the Acute Respiratory Distress Syndrome | NEJM https://t.co/glGFMfgz03

Mar 19, 2024 · 27 followers View post →
Doc Musician
@DocMusician · X

@nickmmark ARMA of cors https://t.co/b9o4aJQrf7

Feb 10, 2024 · 5 likes · 7,138 followers View post →
OxAIMPHEM
@OxAIMPHEM · X

2) Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and the Acute Respiratory Distress Syndrome (https://t.co/OvSbLQy52n)

Nov 11, 2023 · 16 followers View post →
Filippo D'Amico
@DrFDamico · X

@giovannilandoni @germ_red @BJAJournals 2/ Clinicians once adjusted blood gas values through aggressive ventilation for short-term perfection. #Protectiveventilation taught us to consider the long-term impact. https://t.co/GHXd38Nynt https://t.co/XvE2VWuLne

Nov 10, 2023 · 1,699 followers View post →
Luciano
@cardamone44 · X

@stefankmil https://t.co/CZT0NlT0Qd

Oct 10, 2023 · 94 followers View post →
Steven E Lucking, MD
@SELuckingMD · X

@TracyBethHoeg @Timothee_MD @VPrasadMDMPH Yes. ARMA study control arm protocol was well beneath standard of care at the time as practiced by intensivists who took a pragmatic approach to tidal volumes and peak/plateau pressures in pts w poor lung compliance. Excellent discussion by Deans, et al. https://t.co/9XzUSae475

Sep 4, 2023 · 847 followers View post →
boss charles
@rockstopher2 · X

@SteveBigpond @delton @kevinnbass You are a fucking idiot, NIV in no way controls for tidal volume , thereby negating the greatest advancement in ARDS management. https://t.co/i2RLPRI0XK

May 14, 2023 · 1 like · 94 followers View post →
nur 'izzati ahmad za
@anurizzati · X

RT @PharmacyToDose: #TrialOfTheDay for May 5th is the ARDSNet Trial. One of the biggest reductions of mortality in the critical care lite…

May 7, 2023 · 2 shares · 41 followers View post →
Lesly Jurado Hernández
@LeslyJuradoRx · X

RT @PharmacyToDose: #TrialOfTheDay for May 5th is the ARDSNet Trial. One of the biggest reductions of mortality in the critical care lite…

May 5, 2023 · 2 shares · 49 followers View post →
Pharmacy To Dose: The Critical Care Podcast
@PharmacyToDose · X

#TrialOfTheDay for May 5th is the ARDSNet Trial. One of the biggest reductions of mortality in the critical care literature and we still use this ventilation strategy today. Link: https://t.co/lIROMNfdOc #PharmICU #TwitteRX #ARDS #PulmTwitter #MedEd #SoMe #FOAMed https://t.co/LwmCrYixPX

May 5, 2023 · 8 likes · 2 shares · 6,831 followers View post →
hscott61
@hscott61 · X

RT @IM_Crit_: Thanks for reading! References: 1. https://t.co/gLluaxsHyI 2. https://t.co/exupaPT7Hz 3. https://t.co/UF3lV3jdt5 4. https://…

May 5, 2023 · 2 shares · 756 followers View post →
Syed Shahrul Naz
@drshahrul80 · X

RT @IM_Crit_: Thanks for reading! References: 1. https://t.co/gLluaxsHyI 2. https://t.co/exupaPT7Hz 3. https://t.co/UF3lV3jdt5 4. https://…

May 4, 2023 · 2 shares · 6,927 followers View post →
@IM_Crit_
@imcrit.bsky.social · Bluesky

Thanks for reading! References: 1. https://pubmed.ncbi.nlm.nih.gov/10793162/ 2. https://pubmed.ncbi.nlm.nih.gov/15616401/ 3. https://pubmed.ncbi.nlm.nih.gov/12406836/ 4. https://pubmed.ncbi.nlm.nih.gov/21742211/

May 4, 2023 · 1 share View post →
IMCrit
@IM_Crit_ · X

Thanks for reading! References: 1. https://t.co/gLluaxsHyI 2. https://t.co/exupaPT7Hz 3. https://t.co/UF3lV3jdt5 4. https://t.co/us3T9b0RKM

May 4, 2023 · 15 likes · 2 shares · 58,118 followers View post →
mahmoud ashry
@mahmoud69848074 · X

https://t.co/3z3uwdYoQT

Mar 10, 2023 · 61 followers View post →
Mubashir Ayaz Ahmed, MD
@drmelatonin23 · X

@anujtiwari11 Have to quote Dr Tobin’s work in there 1. https://t.co/pMNlQ9cbtH

Feb 9, 2023 · 133 followers View post →
くろねこ@臨床工学技士
@cekrnk · X

@korin_sheep 一回換気量6mL/kgと12mL/kgを比較した際に一回換気量6mL/kgのほうが生存率が高い。(図1) →低一回換気量が良いとされた。 https://t.co/2N8yrwbUpe

Apr 27, 2022 · 460 followers View post →
Crimbo, released from FBI custody 15MAR2020
@CrimBooRadley · X

@MikeAlbanese @VBrisingr @No_I_Am_Gary @kevinmcashman https://t.co/2OfauPmCyv as i said, traditional ventilation use was killing people (not all obv, but acutely injured people absolutely). changing standards of use and lowering the intubation-craze that was an early idea has objectively saved lives.

Mar 21, 2022 · 1 like · 157 followers View post →
Landmark Trials
@LandmarkTrials · X

See full trial at: https://t.co/LEwLqPMNz5

Feb 13, 2022 · 847 followers View post →
Adrian Soto-Mota
@AdrianSotoMota · X

El estudio clásico es el ARDSnet: AKA Con el volumen tidal (como con muchas otras cosas). Menos es más. https://t.co/JvTHf58jZk

Feb 11, 2022 · 1 like · 9,224 followers View post →
Ric Pierce (he/his)
@Pierce_Vasc_Lab · X

RT @JulesBass6: Hard to believe that this was published 21 years ago! Still one of the most important studies in #CriticalCare. This was on…

Nov 17, 2021 · 1 share · 850 followers View post →
Julie Bastarache
@JulesBass6 · X

Hard to believe that this was published 21 years ago! Still one of the most important studies in #CriticalCare. This was only possible because the ⁦⁦@nih_nhlbi⁩ had the foresight to establish the #ARDSNetwork. Wish we had a #Sepsis network! https://t.co/xM1QgKKurf

Nov 17, 2021 · 11 likes · 1 share · 4,792 followers View post →
BendigoICUjournalclub
@BendigoICU · X

https://t.co/cvFwX7q6Rx

Nov 11, 2021 · 1 like · 13 followers View post →
Adam Nolan
@AdamNol51280173 · X

Tacking this beast for journal club this week. The paradigm shifting work from ARDS Net which was published *almost* 21 years ago to the day. No regrets choosing this although it has taken me four working days to read... https://t.co/QOIKorSW0D https://t.co/r32iSKTpX6

May 8, 2021 · 4 likes · 364 followers View post →
魔狸(35歳) ポケGoトレーナー 台湾独立
@Matanuki · X

@Matanuki "Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and the Acute Respiratory Distress Syndrome" https://t.co/BQEqIvgTBA #ARDS 2001年。 "CONCLUSIONS : In patients with ALI/ARDS , mechanical ventilation with a lower(ry

Apr 25, 2021 · 2,173 followers View post →
Yovis
@yovis_re · X

La importancia de utilizar 6-8 ml/kg de peso predicho: Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and the Acute Respiratory Distress Syndrome | NEJM https://t.co/iLGKaU8aMw

Mar 23, 2021 · 1 like · 206 followers View post →
Paul Abril
@Polandresito · X

RT @iAMDrBrightside: Hoy volví a hablar de investigación, en el taller de lectura crítica de artículos científicos para los nuevos resident…

Mar 18, 2021 · 1 share · 83 followers View post →
Alvaro M. Herrera
@iAMDrBrightside · X

Hoy volví a hablar de investigación, en el taller de lectura crítica de artículos científicos para los nuevos residentes, me encanta. Iniciamos con un clásico. https://t.co/b6euMDoIXT

Mar 17, 2021 · 19 likes · 1 share · 5,164 followers View post →
Endocrine dialogues
@EndoDialogues · X

After his study, other groups published the same strategy but did not have the same findings. Finally, in 2000, ARDS Net, a multicentric and large trial confirmed his findings. + https://t.co/URuFkzbAfa

Jan 24, 2021 · 3 likes · 6,455 followers View post →
Anthony Cochrane
@m0102940 · X

@WesElyMD @NidaQadirMD @efan75 @gsmartinmd @SCCM @Paul_Wischmeyer @drdangayach @laxswamy @nickmmark @PulmCrit This is interesting and it is a lovely read however that’s not why we use 6ml/kg for tidal volume. It is because of this large multicenter, parallel-group, randomized controlled trial https://t.co/PwiBHLsTqY

Jan 4, 2021 · 4 likes · 101 followers View post →
Almansour
@malmansour81 · X

RT @david_furfaro: 2/Covid causes ARDS. The cornerstone of ARDS management is lung protective ventilation → reduce mechanical stress on the…

Aug 1, 2020 · 5 shares · 215 followers View post →
Charlotte
@caej90 · X

RT @andymoz78: Indeed PROSEVA, a trial of proning in ARDS, demonstrated a 16.8% ARR https://t.co/EwFu8uLEuD Low tidal volumes -the most ro…

Jun 24, 2020 · 1 share · 3,565 followers View post →
Andy Conway Morris
@andymoz78 · X

Indeed PROSEVA, a trial of proning in ARDS, demonstrated a 16.8% ARR https://t.co/EwFu8uLEuD Low tidal volumes -the most robustly reproduced effect in ARDS – had an 8.8% ARR https://t.co/wj78yzDB1a

Jun 23, 2020 · 5 likes · 1 share · 14,316 followers View post →
Samaher Hashim
@SamaherHashim · X

ARDS: (ARMA, PROSEVA, ACURASYS, CESAR, EOLIA, PETAL, Driving pressure and survival in ARDS “Amato”) https://t.co/16frvqt8Jn https://t.co/FLh9EHObEJ https://t.co/05mL2FVEmn https://t.co/JQFeswX7UY https://t.co/shEH9PkmHX https://t.co/NhpXPZudoQ https://t.co/XhzT5fvLcA

May 27, 2020 · 6 likes · 1,660 followers View post →
Gustavo Plotnikow
@GAPlotnikow · X

otro objetivo de "oxigenación" que es el mismo que el del ARDSnet https://t.co/S6WBPHn70k

May 16, 2020 · 3 likes · 3,083 followers View post →
Alex Kaufman
@akkaufman · X

RT @jopo899: A short history of ventilation in ARDS: in 2000 ARDSNET published landmark study showing tidal volumes of 6ml/kg better than 1…

May 13, 2020 · 6 shares · 4,349 followers View post →
Keiran Davis
@keirandavis · X

RT @jopo899: A short history of ventilation in ARDS: in 2000 ARDSNET published landmark study showing tidal volumes of 6ml/kg better than 1…

May 13, 2020 · 6 shares · 106 followers View post →
Chris Gowers
@gowers_chris · X

RT @jopo899: A short history of ventilation in ARDS: in 2000 ARDSNET published landmark study showing tidal volumes of 6ml/kg better than 1…

May 13, 2020 · 6 shares · 204 followers View post →
Ifor Capel
@ifor_capel · X

RT @jopo899: A short history of ventilation in ARDS: in 2000 ARDSNET published landmark study showing tidal volumes of 6ml/kg better than 1…

May 12, 2020 · 6 shares · 390 followers View post →
Joanne Clements
@joannekarma · X

RT @jopo899: A short history of ventilation in ARDS: in 2000 ARDSNET published landmark study showing tidal volumes of 6ml/kg better than 1…

May 12, 2020 · 6 shares · 2,602 followers View post →
#hellomynameisKaren
@karen_harford · X

RT @jopo899: A short history of ventilation in ARDS: in 2000 ARDSNET published landmark study showing tidal volumes of 6ml/kg better than 1…

May 12, 2020 · 6 shares · 307 followers View post →
Joanna Poole
@Jopo_dr · X

A short history of ventilation in ARDS: in 2000 ARDSNET published landmark study showing tidal volumes of 6ml/kg better than 12ml/kg for mortality and ventilator days. Been proven again. #FOAMcovid https://t.co/VxK4vPV9bs

May 12, 2020 · 19 likes · 6 shares · 23,190 followers View post →
RunTheList
@runthelistpod · X

Mainstays of acute respiratory distress syndrome (ARDS) management include: 1⃣Low tidal volume ventilation - lowers mortality, compared to larger "traditional" tidal volumes, as shown in the ARMA trial (2000): https://t.co/zcIIVcqQc9 https://t.co/tnRe7TXaMe

May 11, 2020 · 5 likes · 8,138 followers View post →
PO Berve
@SonoRambler · X

RT @precordialthump: @SonoRambler @emcrit @cliffreid @airwaycam @PulmCrit @OttestadWilliam @CriticalCareNow @cameronks In ARDSNet ARMA tria…

May 1, 2020 · 1 share · 726 followers View post →
Chris Nickson @precordialthump.bsky.social
@precordialthump · X

@SonoRambler @emcrit @cliffreid @airwaycam @PulmCrit @OttestadWilliam @CriticalCareNow @cameronks In ARDSNet ARMA trial baseline minute ventilation was about 13 L/min. Even in the low tidal volume group PCO2 was 40 with a std deviation of 10 over first 7 days. So some had very low PCO2 for some reason... https://t.co/JoCgArlVxJ

May 1, 2020 · 2 likes · 1 share · 22,246 followers View post →
Zafeiria
@ZafBlatt · X

RT @david_furfaro: 2/Covid causes ARDS. The cornerstone of ARDS management is lung protective ventilation → reduce mechanical stress on the…

May 1, 2020 · 5 shares · 221 followers View post →
ARDSnaught
@4Meducation · X

@PulmCrit @JAMA_current @gattinon "[...]Groeneveld acknowledges. There needs to be a direct comparison between the two ventilation protocols." https://t.co/6BNIbJeABQ

Apr 30, 2020 · 19 followers View post →
William F Parker, MD, PhD
@WF_Parker · X

https://t.co/QmnAnEUVB0

Apr 29, 2020 · 3,343 followers View post →
Bruce Thomas
@Tickerb11111 · X

@ScottAdamsSays @WriteWingLeft1 It took more years before this became the norm. And this newer norm may still be too much volume for covid-lung. https://t.co/KD0XYRDrBB

Apr 27, 2020 · 27 followers View post →
Christianne Calderon
@xtiannecalderon · X

RT @david_furfaro: 2/Covid causes ARDS. The cornerstone of ARDS management is lung protective ventilation → reduce mechanical stress on the…

Apr 21, 2020 · 5 shares · 266 followers View post →
Almansour
@malmansour81 · X

RT @david_furfaro: 2/Covid causes ARDS. The cornerstone of ARDS management is lung protective ventilation → reduce mechanical stress on the…

Apr 21, 2020 · 5 shares · 215 followers View post →
David Furfaro
@david_furfaro · X

2/Covid causes ARDS. The cornerstone of ARDS management is lung protective ventilation → reduce mechanical stress on the lung → minimize ventilator-induced lung injury. The landmark ARMA trial showed lower tidal volume ventilation helps in this effort https://t.co/MBybOQJC6K

Apr 21, 2020 · 28 likes · 5 shares · 3,178 followers View post →
Dan Rolston
@Dr_DRoll · X

From original ARDSNet paper. "For patients with severe dyspnea, the tidal volume could be increased to 7 to 8 ml per kilogram of predicted body weight if the plateau pressure remained 30 cm of water or less." https://t.co/CEJKmcf1lu

Apr 18, 2020 · 1 like · 228 followers View post →
CokeWayneCowboy
@CokeWayneCowbo1 · X

@Jacob_Bogers @RyanMarino @mathewi @SortaBad I’m not sure I understand your question. There’s no medical term called “overpressure.” Maybe this will help (avoiding prolonged excessive mean airway pressure and tidal volume has been standard of care for decades): https://t.co/rqN2Oj59ms

Apr 17, 2020 · 73 followers View post →
Travis Smith, D.O. FAAEM
@RosenelliEM · X

TIDAL VOLUME Volume (mL) in every breath that is either machine or patient triggered Volume should be based on ideal body weight, starting at approximately 6mL/Kg of ideal body weight per ARDSnet. https://t.co/QbNNYRyWCl

Apr 16, 2020 · 5,102 followers View post →
heiderespinel
@heiderespinel · X

RT @jsenior64: @heiderespinel https://t.co/za9KAHgcfJ

Apr 15, 2020 · 1 share · 427 followers View post →
Juan Senior
@jsenior64 · X

@heiderespinel https://t.co/za9KAHgcfJ

Apr 15, 2020 · 2 likes · 1 share · 11,089 followers View post →
Gray Wolf
@GreyWol27926578 · X

RT @InternAtWork: ICU/ID WEEK DAY 6 - ARDS Podcast: https://t.co/frsdHkTVSm EBM Article: https://t.co/xzsLaKZbAp https://t.co/pvlbJMAlNW

Apr 10, 2020 · 3 shares · 164 followers View post →
Manrique Umana McDermott
@umanamd · X

RT @InternAtWork: ICU/ID WEEK DAY 6 - ARDS Podcast: https://t.co/frsdHkTVSm EBM Article: https://t.co/xzsLaKZbAp https://t.co/pvlbJMAlNW

Apr 10, 2020 · 3 shares · 12,074 followers View post →
Kallirroi Laiya
@KallirroiLaiya · X

RT @InternAtWork: ICU/ID WEEK DAY 6 - ARDS Podcast: https://t.co/frsdHkTVSm EBM Article: https://t.co/xzsLaKZbAp https://t.co/pvlbJMAlNW

Apr 10, 2020 · 3 shares · 1,580 followers View post →
The Intern At Work
@InternAtWork · X

ICU/ID WEEK DAY 6 - ARDS Podcast: https://t.co/frsdHkTVSm EBM Article: https://t.co/xzsLaKZbAp https://t.co/pvlbJMAlNW

Apr 10, 2020 · 13 likes · 3 shares · 15,182 followers View post →
Chris Carroll MD
@ChrisCarrollMD · X

We’ve know for at least 20 years that the way we ventilate can significantly influence outcomes. https://t.co/nmZpIfHwOn

Apr 10, 2020 · 5 likes · 20,129 followers View post →
Beverly Nuckols, MD
@bnuckols · X

@ZDoggMD I thought standard of care was already low volume Tidal Volume. Per your video the other day & https://t.co/UQHsO6zpO7

Apr 6, 2020 · 2,045 followers View post →
Jeff Smith on Air Pollution (BreatheLife2030.org)
@jksmith34 · X

@PeterAnderton10 @LittleNinjaUK ... Sedation of patients on low tidal volume ventilation was needed because the patient would fight the ventilator due to uncomfortable blood CO2 levels. The study that kicked off this strategy is linked below. 2/ https://t.co/MhS6wJpptX

Apr 5, 2020 · 8,641 followers View post →
Kate B Savoie, MD MS
@drkt · X

Up first for the #CCMJC (#criticalcaremedicinejournalclub), the very fitting topic of the low TVs in ARDS. #SoMe4Surgery #medtwitter #critcaremed #CriticalCare https://t.co/CHJ7zauest

Mar 26, 2020 · 2 likes · 932 followers View post →
Tom Poole
@TomPoole007 · X

RT @TomPoole007: LOW TIDAL VOLUME STRATEGY 40% lower of mortality on ventilator. Prone position is important. https://t.co/P4IGSm0vmC T…

Mar 25, 2020 · 3 shares · 1,802 followers View post →
Ernie Shippey
@eshippey · X

RT @TomPoole007: LOW TIDAL VOLUME STRATEGY 40% lower of mortality on ventilator. Prone position is important. https://t.co/P4IGSm0vmC T…

Mar 25, 2020 · 3 shares · 225 followers View post →
TheLastHyperion
@LastHyperion · X

@lizziepresser @lizziepresser can you ask your source if they know of using low-TV for ventilators? High-TV tends to worsen alveolar inflammation. From NEJM: Low TV Ventilation: https://t.co/hOKDDeCShJ Neuromuscular Blockers: https://t.co/F61sDzNWhe Prone Positioning: https://t.co/Hda8GXRwet

Mar 22, 2020 · 1 followers View post →
TheLastHyperion
@LastHyperion · X

COVID-19 Research Links: Open Research Dataset: https://t.co/wt3oAft7KX NEJM: https://t.co/hu2lWuAGQ3 Neuromuscular Blockers in ARDS (NEJM): https://t.co/TAzOI2k7I7 Prone Positioning in ARDS (NEJM): https://t.co/9zwaRyI4t6 Low TV Ventilation (NEJM): https://t.co/QhV5OABL1H

Mar 20, 2020 · 1 share · 1 followers View post →
Tom Poole
@TomPoole007 · X

LOW TIDAL VOLUME STRATEGY 40% lower of mortality on ventilator. Prone position is important. https://t.co/P4IGSm0vmC Tidal Volume https://t.co/6Qf4e6B4Fg Prone https://t.co/Upp9t5qIOw @MichelePaduano #Ventilators #intensivecare #lungs #pneumonia #pandemicposts

Mar 20, 2020 · 3 shares · 1,802 followers View post →
Alexa Franco
@Alexa_Franco89 · X

RT @EmiroBuendia: #Residentnudge

Mar 20, 2020 · 9 shares · 84 followers View post →
David Esteban
@TebanVelandia · X

RT @EmiroBuendia: #Residentnudge

Mar 20, 2020 · 9 shares · 393 followers View post →
César Marriaga Z
@Cesar_Marriaga · X

RT @EmiroBuendia: #Residentnudge

Mar 20, 2020 · 9 shares · 725 followers View post →
Pipe Barragan A
@PipeBarraganA · X

RT @EmiroBuendia: #Residentnudge

Mar 19, 2020 · 9 shares · 171 followers View post →
Santiago Quintero
@squinteromendez · X

RT @EmiroBuendia: #Residentnudge

Mar 19, 2020 · 9 shares · 1,464 followers View post →
Manuel Garay-Fernández
@mandres80 · X

RT @EmiroBuendia: #Residentnudge

Mar 19, 2020 · 9 shares · 2,267 followers View post →
Dr. B ☕
@Dr_Erabuda · X

#Residentnudge

Mar 19, 2020 · 13 likes · 9 shares · 717 followers View post →
Christopher Blewett
@Blewett17 · X

@aribindi “ which involved an initial tidal volume of 6 ml per kilogram of predicted body weight and a plateau pressure of 30 cm of water or less.” Probably ends up being very similar I bet and keeping Ppl 30 cm or less probably more important https://t.co/ylYZO5dNQ3

Mar 14, 2020 · 1 like · 498 followers View post →
Chris Fong
@ChrisPFong · X

@davidmanheim @ryancareyai @AvalancheJohn @robinhanson @WeekendSjw Minimized oxygen flows reduces inflammation in the lungs. You don’t want to stretch the lungs. https://t.co/BfUr0rhEid

Mar 8, 2020 · 2 likes · 93 followers View post →
Dr. B ☕
@Dr_Erabuda · X

Referencias:

Feb 22, 2020 · 1 like · 717 followers View post →
Dr. B ☕
@Dr_Erabuda · X

-Si tiene sospecha o certeza de SDRA no realice maniobras de reclutamiento Escalona da con PEEP, aplique estudio ARMA, ya que reclutar aumenta mortalidad ART Trial

Dec 14, 2019 · 717 followers View post →
Dr. B ☕
@Dr_Erabuda · X

#Residentnudge

Dec 14, 2019 · 9 likes · 717 followers View post →
Joanna ☤
@criticalcarePA · X

In case anyone needs the link to the ARDSnet article https://t.co/UY93aUo1mB

Oct 18, 2019 · 78 followers View post →
Rosi moquete
@RosiRosiw11 · X

RT @NEJM: From the #NEJMArchive: Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and…

May 17, 2019 · 14 shares · 195 followers View post →
x-ray whisperer
@wusasode · X

RT @NEJM: From the #NEJMArchive: Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and…

May 7, 2019 · 14 shares · 245 followers View post →
Fernando Palizas
@FernandoPalizas · X

RT @NEJM: From the #NEJMArchive: Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and…

May 6, 2019 · 14 shares · 412 followers View post →
Marco
@Marco79880648 · X

RT @NEJM: From the #NEJMArchive: Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and…

May 6, 2019 · 14 shares · 11 followers View post →
Liz
@liztbec · X

RT @NEJM: From the #NEJMArchive: Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and…

May 6, 2019 · 14 shares · 414 followers View post →
IntraMed
@IntraMedNet · X

RT @NEJM: From the #NEJMArchive: Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and…

May 6, 2019 · 14 shares · 41,048 followers View post →
Irbesartán
@DrJosueBonilla · X

RT @NEJM: From the #NEJMArchive: Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and…

May 6, 2019 · 14 shares · 156 followers View post →
serrgv
@serrgv · X

RT @NEJM: From the #NEJMArchive: Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and…

May 6, 2019 · 14 shares · 146 followers View post →
Dr.Zaki A. Alzaher د.زكي بن عبدالله الزاهر
@ZakiAlzaher · X

RT @NEJM: From the #NEJMArchive: Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and…

May 6, 2019 · 14 shares · 12,724 followers View post →
Sarthak Rastogi
@sarthak_ras · X

RT @NEJM: From the #NEJMArchive: Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and…

May 6, 2019 · 14 shares · 504 followers View post →
Rodrigo Nunes Cal
@CalZole · X

RT @NEJM: From the #NEJMArchive: Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and…

May 6, 2019 · 14 shares · 3,388 followers View post →
Pub Health Monitor
@monitor_PH · X

RT @NEJM: From the #NEJMArchive: Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and…

May 6, 2019 · 14 shares · 1,817 followers View post →
NEJM
@NEJM · X

From the #NEJMArchive: Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and the Acute Respiratory Distress Syndrome (May 4, 2000) https://t.co/WppIJ8uUJH https://t.co/ccXFKBjvZl

May 6, 2019 · 14 likes · 14 shares · 932,969 followers View post →
Russell Dolan, MD
@dolan_russell · X

7. Perhaps the most transformative trial in Critical Care Medicine is the ARDSNet trial (NEJM 2000). Lung Protective Ventilation (LPV; 6cc/Kg) showed mortality benefit over ⬆️ pressures (10-12cc/Kg). ARDSNet Trial (@NEJM 2000): https://t.co/36HWXzNanj

Apr 29, 2019 · 3 likes · 368 followers View post →
Aberdeen ICU
@AberdeenICUEdu · X

Journal Club Wed 8am: The Acute Respiratory Distress Syndrome Network. Ventilation with Lower Tidal Volumes as C... https://t.co/E2ig2weWDE

Mar 26, 2019 · 3 likes · 1,079 followers View post →