The concept of “baby lung”

By L. Gattinoni, A. Pesenti. Intensive Care Medicine, 2005

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ESICM guidelines on acute respiratory distress syndrome: definition, phenotyping and respiratory support strategies (2023, background): “These strategies include lower tidal volume and plateau pressure to protect the ‘baby lung’ [7]; the use of PEEP and lung recruitment maneuvers (RM) to reduce the amount of non-aerated lung; and ventilation in prone position to increase lung homogeneity, improve ventilation/perfusion ratio and lung/”
Ventilator-Induced Lung Injury (2014, background): “fluid-filled spaces, resulting in smaller lungs that were ventilated with larger volumes.(12) Advances in lung imaging techniques and bedside ventilator waveform analysis(13,14,15)”
Tidal hyperinflation during low tidal volume ventilation in acute respiratory distress syndrome. (2007, background): “a small “baby lung” [17]) the ARDSnet protective ventilatory strategy does not fully protect the lungs from VILI because hyperinflation of the small “normal” lung may occur despite lowering Vt to 6 ml/kg PBW and limiting Pplat to 30 cm H2O.”