Rescue Strategies in Severe Refractory Hypoxemic Respiratory Failure: Taking a Step Back

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Rescue Strategies in Severe Refractory Hypoxemic Respiratory Failure: Taking a Step Back.

Comparative effectiveness research is an initiative of the Affordable Care Act. The Patient-Centered Outcomes Research Institute has been established to provide comparative effectiveness information to assist patients, clinicians, purchasers, and policy makers in making informed health decisions. This concept applies to rescue strategies in patients with ARDS, a common and severe form of acute ...

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A Comparative Effectiveness Study of Rescue Strategies in 1,000 Subjects With Severe Hypoxemic Respiratory Failure.

BACKGROUND Subjects with severe hypoxemic respiratory failure have shown a high mortality in previous studies. METHODS All adult ICU patients requiring mechanical ventilation from 2005 to 2010 at Mayo Clinic were screened for severe hypoxemia (Murray lung injury score of ≥ 3). Extracorporeal membrane oxygenation, prone positioning, high-frequency oscillatory ventilation (HFOV), and inhaled va...

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[Ventilation strategies in the child with severe hypoxemic respiratory failure].

In this review, we assemble the fundamental concepts of the use of mechanical ventilation (MV) in children with acute respiratory failure (ARDS) and refractory hypoxemia. We also discusses topics of protective ventilation and recruitment potential, and specifically examine the options of ventilation and/or maneuvers designed to optimize the non-aerated lung tissue: alveolar recruitment maneuver...

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Severe hypoxemic respiratory failure: part 2--nonventilatory strategies.

ARDS is characterized by hypoxemic respiratory failure, which can be refractory and life-threatening. Modifications to traditional mechanical ventilation and nontraditional modes of ventilation are discussed in Part 1 of this two-part series. In this second article, we examine nonventilatory strategies that can influence oxygenation, with particular emphasis on their role in rescue from severe ...

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ژورنال

عنوان ژورنال: Respiratory Care

سال: 2016

ISSN: 0020-1324,1943-3654

DOI: 10.4187/respcare.04627