Intensivmedizin: ARDS: ventilate gently, relax, dry and prone
نویسندگان
چکیده
منابع مشابه
Point:Counterpoint: High-frequency ventilation is/is not the optimal physiological approach to ventilate ARDS patients POINT: HIGH-FREQUENCY VENTILATION IS THE OPTIMAL PHYSIOLOGICAL APPROACH TO VENTILATE ARDS PATIENTS
Before we can agree (or disagree) on whether high-frequency ventilation is the optimal physiological approach for ventilating patients with acute respiratory distress syndrome (ARDS), we must first define exactly what we mean by an optimal physiological approach. In this regard, we are not talking about restoring a “normal” physiological pattern of breathing nor even necessarily achieving “norm...
متن کاملThe prone position in ARDS patients. A clinical study.
The gas exchange and hemodynamics were evaluated before, during, and after a two-hour period of prone position in 13 moderate-severe ARDS patients. Lung computerized tomography was obtained in both the supine and prone positions in two of these patients. Average arterial oxygenation improved after prone positioning (p less than 0.01). A PaO2 improvement of at least 10 mm Hg after 30 minutes of ...
متن کاملProne positioning unloads the right ventricle in severe ARDS.
BACKGROUND Despite airway pressure limitation, acute cor pulmonale persists in a minority of ARDS patients. Insufficient airway pressure limitation, hypercapnia, or both may be responsible. Because prone positioning (PP) has been shown to be a safe way to reduce airway pressure and to improve alveolar ventilation, we decided to assess its effect on right ventricular (RV) pressure overload in AR...
متن کاملA Comprehensive Review of Prone Position in ARDS.
Prone position (PP) has been used since the 1970s to treat severe hypoxemia in patients with ARDS because of its effectiveness at improving gas exchange. Compared with the supine position (SP), placing patients in PP effects a more even tidal volume distribution, in part, by reversing the vertical pleural pressure gradient, which becomes more negative in the dorsal regions. PP also improves res...
متن کاملHigh-frequency ventilation is/is not the optimal physiological approach to ventilate ARDS patients.
physiology, especially those papers emphasizing adaptive and integrative mechanisms. It is published 12 times a publishes original papers that deal with diverse area of research in applied
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ژورنال
عنوان ژورنال: Swiss Medical Forum ‒ Schweizerisches Medizin-Forum
سال: 2014
ISSN: 1424-4020,1424-3784
DOI: 10.4414/smf.2014.01781