According to the ARDS protocol, what should the plateau pressure be maintained at?

Maintaining the plateau pressure at less than 30 cm H2O is crucial in the management of Acute Respiratory Distress Syndrome (ARDS). This guideline is based on the principle of minimizing ventilator-induced lung injury. High plateau pressures can indicate overdistension of the lungs or excessive tidal volume, which can exacerbate lung injury and worsen outcomes in ARDS patients.

By keeping the plateau pressure below 30 cm H2O, clinicians aim to ensure adequate ventilation while protecting the lungs from the damaging effects of high pressures. This strategy is part of the lung-protective ventilation strategy that has been shown to improve survival rates in patients with ARDS. It reflects the need for careful monitoring and adjustment of mechanical ventilation settings to promote better outcomes in these critically ill patients.