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Titolo:
EVOLVING CONCEPTS IN THE VENTILATORY MANAGEMENT OF ACUTE RESPIRATORY-DISTRESS SYNDROME
Autore:
MARINI JJ;
Indirizzi:
ST PAUL RAMSEY MED CTR,DEPT PULM & CRIT CARE MED,640 JACKSON ST ST PAUL MN 55101 UNIV MINNESOTA,SCH MED,DEPT MED MINNEAPOLIS MN 55455
Titolo Testata:
Clinics in chest medicine
fascicolo: 3, volume: 17, anno: 1996,
pagine: 555 -
SICI:
0272-5231(1996)17:3<555:ECITVM>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
END-EXPIRATORY PRESSURE; TRACHEAL GAS INSUFFLATION; INVERSE RATIO VENTILATION; ACUTE LUNG INJURY; EXTRACORPOREAL MEMBRANE-OXYGENATION; CONSTANT-FLOW VENTILATION; TIDAL VOLUME REDUCTION; INHALED NITRIC-OXIDE; HIGH AIRWAY PRESSURE; MECHANICAL VENTILATION;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
116
Recensione:
Indirizzi per estratti:
Citazione:
J.J. Marini, "EVOLVING CONCEPTS IN THE VENTILATORY MANAGEMENT OF ACUTE RESPIRATORY-DISTRESS SYNDROME", Clinics in chest medicine, 17(3), 1996, pp. 555

Abstract

With few modifications, a high tidal volume, normoxic, normocapnic ventilation paradigm developed as the standard approach to supporting most critically ill patients. Large tidal volumes, high end-tidal (plateau) alveolar pressures, and low levels of positive end-expiratory pressure are still common in many ICUs during ventilation of acute respiratory distress syndrome (ARDS). A body of scientific literature now suggests that this traditional approach may retard healing of the injuredlung. A relatively small but growing number of practitioners are shifting their first priority from optimizing oxygen exchange, oxygen delivery, or respiratory system compliance to ensuring adequate lung protection. This article reviews the basis for concern about traditional ventilatory support in ARDS and develops an approach based on current evidence and newer options for management.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/10/20 alle ore 04:49:11