Acute respiratory distress syndrome and mechanical ventilation: ups and downs of an ongoing relationship trap
نویسندگان
چکیده
منابع مشابه
Mechanical ventilation and acute respiratory distress syndrome.
Acute respiratory distress syndrome continues to be a high-mortality condition. The role of mechanical ventilation remains primarily a supportive modality. Recent research has elucidated the adverse impact of traditional ventilation strategies on development of the disease and, ultimately, mortality. The institution of low tidal volume ventilation has been the only intervention that has resulte...
متن کاملMechanical ventilation of acute respiratory distress syndrome
Acute respiratory distress syndrome (ARDS) has been intensively and continuously studied in various settings, but its mortality is still as high as 30–40 %. For the last 20 years, lung protective strategy has become a standard care for ARDS, but we still do not know the best way to ventilate patients with ARDS. Tidal volume itself does not seem to have an important role to develop ventilator-in...
متن کامل[Acute respiratory distress syndrome, mechanical ventilation and right ventricular function].
Mechanical ventilation in acute respiratory distress syndrome (ARDS) implies an increase in alveolar and transpulmonary pressure, giving rise to major alterations in pulmonary circulation and causing right ventricular functional overload that can lead to ventricular failure and thus to acute cor pulmonale. The condition is echocardiographically characterized by dilatation of the right ventricle...
متن کاملAirway pressure release ventilation: an alternative mode of mechanical ventilation in acute respiratory distress syndrome.
Acute respiratory distress syndrome (ARDS) results in collapse of alveoli and therefore poor oxygenation. In this article, we review airway pressure release ventilation (APRV), a mode of mechanical ventilation that may be useful when, owing to ARDS, areas of the lungs are collapsed and need to be reinflated ("recruited"), avoiding cyclic alveolar collapse and reopening.
متن کاملAdaptive support ventilation: an inappropriate mechanical ventilation strategy for acute respiratory distress syndrome?
To the Editor: Adaptive support ventilation (ASV) allows clinicians to set a maximum plateau pressure (PP) and a desired minute ventilation. Thus, ASV automatically determines the respiratory rate and tidal volume (VT) based on its algorithms and hereto adjusts VT to keep PP below the set maximum. In a lung model with varying mechanics, all mimicking acute respiratory distress syndrome (ARDS), ...
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ژورنال
عنوان ژورنال: Journal of Thoracic Disease
سال: 2016
ISSN: 2072-1439,2077-6624
DOI: 10.21037/jtd.2016.12.25