Compliance versus dead space for optimum positive end expiratory pressure determination in acute respiratory distress syndrome
نویسندگان
چکیده
منابع مشابه
Fifty Years of Research in ARDS. Setting Positive End-Expiratory Pressure in Acute Respiratory Distress Syndrome.
Positive end-expiratory pressure (PEEP) has been used during mechanical ventilation since the first description of acute respiratory distress syndrome (ARDS). In the subsequent decades, many different strategies for optimally titrating PEEP have been proposed. Higher PEEP can improve arterial oxygenation, reduce tidal lung stress and strain, and promote more homogenous ventilation by preventing...
متن کاملThe American-European Consensus Conference definition of the acute respiratory distress syndrome is dead, long live positive end-expiratory pressure!
In 1994, an American-European Consensus Conference (AECC) formalized the criteria for the diagnosis of the acute respiratory distress syndrome (ARDS). Although that definition is simple to apply in the clinical setting, it has been challenged over the years in several studies since the assessment of the oxygenation defect does not require standardized ventilatory support. We were the first to p...
متن کاملLung emptying in patients with acute respiratory distress syndrome: effects of positive end-expiratory pressure.
The pattern of lung emptying was studied in 10 mechanically-ventilated patients with acute respiratory distress syndrome. At four levels of positive end-expiratory pressure (PEEP) (0, 5, 10 and 15 cmH2O) tracheal (Ptr) and airway pressures (Paw), flow (V') and volume (V) were continuously recorded. Tidal volume was set between 0.5-0.6 L and V'/V curves during passive expiration were obtained. E...
متن کاملVariable Effect of Positive End-expiratory Pressure on Oxygenation in Patients with Acute Respiratory Distress Syndrome
To the Editor:—The recent article by Thille et al. and the accompanying editorial by Rouby discuss the effects of positive end-expiratory pressure (PEEP) on pulmonary recruitability in patients with adult respiratory distress syndrome (ARDS). Thille et al. found that alveolar recruitment was similar in pulmonary and extrapulmonary ARDS and concluded that PEEP levels should not be determined bas...
متن کاملEffects of positive end-expiratory pressure on gastric mucosal perfusion in acute respiratory distress syndrome
INTRODUCTION Positive end-expiratory pressure (PEEP) improves oxygenation and can prevent ventilator-induced lung injury in patients with acute respiratory distress syndrome (ARDS). Nevertheless, PEEP can also induce detrimental effects by its influence on the cardiovascular system. The purpose of this study was to assess the effects of PEEP on gastric mucosal perfusion while applying a protect...
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ژورنال
عنوان ژورنال: Indian Journal of Critical Care Medicine
سال: 2014
ISSN: 0972-5229,1998-359X
DOI: 10.4103/0972-5229.138150