PATIENT SELF-INFLICTED LUNG INJURY: THE CASE AGAINST EARLY SPONTANEOUS VENTILATION IN ARDS
نویسندگان
چکیده
منابع مشابه
Spontaneous breathing during mechanical ventilation in ARDS
The objective of mechanical ventilation used in the management of Acute Respiratory Distress Syndrome (ARDS) is to ensure adequate tissue oxygenation and alveolar ventilation while limiting the patients’ work of breathing and preventing further damage to the lungs. Although the “partial support” ventilation modes were initially developed to assist weaning or liberation from supported ventilatio...
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Acute respiratory distress syndrome (ARDS) afflicts 200,000 patients annually with a mortality rate of 30% to 60% despite wide use of low tidal volume (LTV) ventilation, the present standard of care. High-permeability alveolar edema and instability occur early in the development of ARDS, before clinical signs of lung injury, and represent potential targets for therapy. We hypothesize that early...
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A 24-year-old man was admitted with pain and swelling in the left forearm. He admitted introducing several long screws in his forearm, manually one by one, the previous night. The shafts of the screws were buried deep into the muscles of the forearm though their heads were still visible from the surface. This patient has been found to exhibit features of SHAFT syndrome on numerous occasions in ...
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Background & Objective: Lung is a radiosensitive organ. Patients who are undergoing radiation therapy in their chest are subjected to radiation pneumonitis in the early phase and pulmonary fibrosis in the late one. Melatonin scavenges free radicals directly and acts as an indirect antioxidant through the activation of major antioxidant enzymes as well. The aim of the study thus is to investiga...
متن کاملEffects of the open lung concept following ARDSnet ventilation in patients with early ARDS
BACKGROUND Ventilation with low tidal volume (VT) is well recognized as a protective approach to patients with acute respiratory distress syndrome (ARDS), but the optimal level of positive end-expiratory pressure (PEEP) remains uncertain. This study aims to evaluate two protective ventilatory strategies sequentially applied in patients with early ARDS. METHODS In this prospective cohort study...
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ژورنال
عنوان ژورنال: Chest
سال: 2019
ISSN: 0012-3692
DOI: 10.1016/j.chest.2019.08.1150