Driving pressure decoded: Precision strategies in adult respiratory distress syndrome management

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.