Critical care management of the elderly patient: Pulmonary critical care and mechanical ventilation

Abstract

Age-related diminution in function is felt the earliest in the respiratory system. Additionally, injury to and the reserve of the system has a disproportionately high impact on outcomes after trauma, especially in the elderly. Principals of management of the respiratory system, whether injured or not, relate to preventing alveolar collapse and maximizing gas exchange. Detecting deterioration and/or infection early with aggressive therapy forms the other pillars of management. If mechanical ventilation is required, utilizing lung protective strategies will optimize outcomes.