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Letters |

Ventilation Strategies for Acute Lung Injury and Acute Respiratory Distress Syndrome

L. M. A. Heunks, MD, PhD; J. G. van der Hoeven, MD, PhD
JAMA. 2008;300(1):39-43. doi:10.1001/jama.300.1.40-b.
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To the Editor: Dr Mercat and colleagues1 reported the results of the Express trial comparing a minimal alveolar distention strategy with a strategy aiming for maximal alveolar recruitment while limiting hyperinflation. Although there was no difference in the primary end point (28-day mortality rate), the maximal alveolar recruitment strategy resulted in more ventilator-free days, more organ failure–free days, and less frequent use of rescue therapy. However, there are certain points that merit attention.

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References

July 2, 2008
Jack J. Haitsma, MD, PhD; Paolo Pelosi, MD
JAMA. 2008;300(1):39-43. doi:10.1001/jama.300.1.39-a.
July 2, 2008
Yuji Oba, MD
JAMA. 2008;300(1):39-43. doi:10.1001/jama.300.1.39-b.
July 2, 2008
Jigeeshu Divatia, MD; Priya Ranganathan, MD
JAMA. 2008;300(1):39-43. doi:10.1001/jama.300.1.40-a.
July 2, 2008
João Batista Borges, MD; Carlos Roberto Ribeiro Carvalho, MD; Marcelo Britto Passos Amato, MD
JAMA. 2008;300(1):39-43. doi:10.1001/jama.300.1.41-a.
July 2, 2008
Maureen O. Meade, MD, MSc; Thomas E. Stewart, MD
JAMA. 2008;300(1):39-43. doi:10.1001/jama.300.1.42-a.
July 2, 2008
Luciano Gattinoni, MD, FRCP; Pietro Caironi, MD
JAMA. 2008;300(1):39-43. doi:10.1001/jama.300.1.42-b.
July 2, 2008
Alain Mercat, MD; Jean-Christophe Richard, MD; Laurent Brochard, MD
JAMA. 2008;300(1):39-43. doi:10.1001/jama.300.1.41-b.
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