This year, the Dräger Prize subcommittee of the ESA awarded the prize to a
working group that conducted the first laboratory research work showing that it
is possible to improve protective mechanical ventilation beyond the current
standard proposed by the ARDS Network (Acute Respiratory Distress
Syndrome) and also improve a mechanical ventilation commonly known as
“open lung approach”. “We found that in acute lung injury, variable ventilation in
combination with different protective ventilation strategies improves respiratory
function and reduces ventilator associated lung injury”, explains Professor
Marcelo Gama de Abreu. The group conducted the first study showing that
variable ventilation (breath-by-breath variation of tidal volumes) is able to
attenuate lung histological damage and demonstrated that it does not increase
gene expression or release of pro-inflammatory markers of lung injury.
As Chairman of the Dräger Prize Subcommittee, Dr. César Aldecoa Alvares
Santullano, Department of Anaesthesiology and Intensive Care, Hospital
Universitario Rio Hortega, Valladolid, Spain, stated that this paper was
selected as it is an outstanding high-quality scientific study on the treatment of
acute lung injury with results that play a leading role in influencing future
clinical practice beyond current standards.
1 Head of the working group: Prof. Marcelo Gama de Abreu; members: Peter M. Spieth,
Alysson R. Carvalho, Paolo Pelosi, Catharina Hoehn, Christoph Meissner, Michael
Kasper, Matthias Hübler, Matthias von Neindorff, Constanze Dassow, Martina
Barrenschee, Stefan Uhlig, Thea Koch, at the Department of Anaesthesiology and
Intensive Care Therapy, University Hospital Carl Gustav Carus, Dresden, Germany
2 Spieth PM, Carvalho AR, Pelosi P, Höhn C, Meissner C, Kasper M, Hübler M, von
Neindorff M, Dassow C, Barrenschee M, Uhlig S, Koch T, Gama de Abreu M (2009)
Variable tidal volumes improve lung protective ventilation strategies in experimental
lung injury. Am J Respir Crit Care Med 179:684–693