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Titolo:
Ventilation and the critically ill parturient
Autore:
Muckart, DJJ; Bhagwanjee, S;
Indirizzi:
Univ Natal, Nelson R Mandela Med Sch, Dept Surg, ZA-4001 Durban, South Africa Univ Natal Durban South Africa ZA-4001 urg, ZA-4001 Durban, South Africa Univ Witwatersrand, Sch Med, Johannesburg, South Africa Univ Witwatersrand Johannesburg South Africa Johannesburg, South Africa
Titolo Testata:
BEST PRACTICE & RESEARCH IN CLINICAL OBSTETRICS & GYNAECOLOGY
fascicolo: 4, volume: 15, anno: 2001,
pagine: 545 - 556
SICI:
1521-6934(200108)15:4<545:VATCIP>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
RESPIRATORY-DISTRESS-SYNDROME; POSITIVE AIRWAY PRESSURE; ACUTE LUNG INJURY; MECHANICAL VENTILATION; PERMISSIVE HYPERCAPNIA; CLINICAL-TRIAL; PRONE POSITION; HEART-FAILURE; MORTALITY; ECLAMPSIA;
Keywords:
acute lung injury; adult respiratory distress syndrome; mechanical ventilation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Muckart, DJJ Univ Natal, Nelson R Mandela Med Sch, Dept Surg, ZA-4001 Durban, South Africa Univ Natal Durban South Africa ZA-4001 Durban, South Africa
Citazione:
D.J.J. Muckart e S. Bhagwanjee, "Ventilation and the critically ill parturient", BEST P R CL, 15(4), 2001, pp. 545-556

Abstract

Positive-pressure ventilation is the keystone in the management of pulmonary dysfunction in the critically ill. An increased understanding of both the benefits and hazards has led to a general consensus regarding the optimaltechniques to ensure adequate gas exchange. Unfortunately, the same cannotbe said for ventilation terminology which, due to a lack of standardization, lends itself to confusion. Pulmonary dysfunction in the parturient may arise from thoracic or extra-thoracic pathologies but both may be defined asacute lung injury. In its most severe form this constitutes acute respiratory distress syndrome. Acute lung injury results in reduced lung complianceand a marked decrease in the volume of functional lung. Ventilation strategies are now designed to recruit as much available lung tissue as possible while simultaneously minimizing the injurious effects of alveolar over-distension. Upon resolution of the underlying pathology mechanical ventilation may be withdrawn. Recent evidence suggests that this final stage need not be protracted, and if certain criteria are fulfilled, rapid weaning is feasible.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 22:34:18