The acute respiratory distress syndrome (ARDS)

... Pulmonary hypertension The immunology of ARDS  Endothelial injury results in increased capillary permeability and the influx of protein-rich fluid into the alveolar space  Injury to the alveolar lining ... 2007 The theoretical answer: Promote alveolar recruitment  The Problem: a uniformly applied positive insufflating pressure/breath only opens some alveoli during a timed resp...

Ngày tải lên: 28/10/2016, 20:23

... Thorsteinsson A, Frostell CG, Bonde J: Incidence and mortality after acute respiratory failure and acute respiratory distress syndrome in Sweden, Denmark, and Iceland The ARF Study Group Am J Respir Crit ... volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome The Acute Respiratory Distress S...

Ngày tải lên: 12/08/2014, 20:20

... Heat stroke Peritonitis Multiple blood transfusions 08/12/14 LBS 12 Clinical manifestations • Acute respiratory failure – Change in Personality, disorientation, dec LOC – Initial Dyspnea w/ Hyperventilation ... Definition • Noncardiac pulmonary edema • A form of respiratory failure • Complication of hospitalized patients – Serious med-surg problem – May not ... Diagnostic studies • Radi...

Ngày tải lên: 12/08/2014, 20:30

... at -70°C The relative intensity of the reactive bands was estimated by densitometry and corrected for RNA loading as described previously [16] To perform a northern blot analysis of the human ... pathways, the p44/42 MAPK pathway and the PI 3-kinase pathway [8,10] In the present study, we investigated the signaling pathways that mediate the inhibitory effects of in...

Ngày tải lên: 12/08/2014, 18:20

... Measurement of the plasma cytokines and soluble adhesion molecules The assay method for cytokine measurement was the same for blood and BALF samples Determination of plasma cy- Predictive serum and BALF ... fluid (BALF) and serum levels (pg/ml) of the measured cytokines and adhesion molecules in acute respiratory distress syndrome patients...

Ngày tải lên: 12/08/2014, 18:20

... especially in the early phase of illness [3] Disappointingly, however, in the only randomized, controlled study of proning yet published, hours of prone positioning did not influence mortality in the ... II Proning may benefit the most seriously ill subset of patients with acute respiratory distress syndrome Those in the quartile with the highest Si...

Ngày tải lên: 12/08/2014, 18:21

... December 2004 Vol No Reutershan and Ley volumes for acute lung injury and the acute respiratory distress syndrome The Acute Respiratory Distress Syndrome Network N Engl J Med 2000, 342:1301-1308 ... attract neutrophils to migrate through the endothelium (inset C1: transendothelial migration), interstitial space, and epithelium (inset C2: transepithelial migration)...

Ngày tải lên: 12/08/2014, 20:20

... interval) for 28-day to 30-day mortality in patients treated with surfactant compared with controls OR < indicates that treatment with surfactant was associated with a reduction in mortality compared ... pulmonary abnormalities may not affect mortality substantially Evaluation of surfactant treatment of patients with direct lung injury may clarify this issue...

Ngày tải lên: 12/08/2014, 23:22

... statistics were generated for the ARDS and No ARDS groups Continuous data were summarized as mean and standard deviation, and the Student t test was employed when comparisons of means between the ... responsible for the study design, data analyses, and data interpretation All authors read and approved the final manuscript Acknowledgements 17 18 19 20 The Crit study an...

Ngày tải lên: 13/08/2014, 03:21

... distal airway collapse is largely predominant over inflammation and oedema [16]: the lung weight does not substantially increase and the decrease in lung aeration results from end-expiratory collapse ... infiltrated by inflammatory cells [21] VILI mainly results from overstretching of aerated parts of the lung (volutrauma), and high PEEP may further contribute to VILI by i...

Ngày tải lên: 13/08/2014, 10:20

... how combinations of physiological aberrations may lead to inefficient carbon dioxide exchange related to intrapulmonary shunting of blood Conclusion In ARDS, perturbation of carbon dioxide exchange ... which intrapulmonary shunt contributes to alveolar dead space, thereby perturbing carbon dioxide exchange, at varying physiological conditions that are relevant i...

Ngày tải lên: 13/08/2014, 10:20

... experiments BL and PG analysed the data and performed the statistical analysis VD participated in the design and the coordination of the study and helped to draft the manuscript BL, AG, NJ, PM, ... ventilators as an automated procedure ● Combined measurement of thoracopulmonary static compliance and functional residual capacity may help to identify t...

Ngày tải lên: 13/08/2014, 11:22

... this article as: Verzilli et al.: Positive end-expiratory pressure affects the value of intra-abdominal pressure in acute lung injury /acute respiratory distress syndrome patients: a pilot study ... distress syndrome; FiO2: fraction of inspired oxygen; IAH: intraabdominal hypertension; IAP: intra-abdominal pressure; PaO2: partial pressure of arte...

Ngày tải lên: 13/08/2014, 21:21

... phổi không ổn định II THÔNG KHÍ CƠ HỌC (TKCH): II.1 Mục đích: TKCH xâm lấn tiến hành nhằm xử trí tình trạng suy thông khí cấp tính biểu qua giảm oxy máu tăng công thở TKCH không xâm lấn không ... Xem xét chấp nhận mức oxy hoá máu thấp Xem xét cho thở nitric oxide II.2.2 Phương pháp thông khí theo ARDSnet: Mục tiêu thông khí theo ARDSnet: thông khí kiểm soát thể tích với Vt t...

Ngày tải lên: 12/04/2016, 18:59

... nhiễm phổi hai bên hình chụp phổi  Pa02/Fi02 < 300  chứng cớ cao áp tâm thất trái 5/ NHỮNG TÌNH TRẠNG NÀO DẪN ĐẾN SỰ PHÁT TRIỂN CỦA HỘI CHỨNG SUY KIỆT PHỔI CẤP TÍNH (ARDS) ?  Nhiều hội chứng ... xuyên ngưỡng thấp việc đánh gia điều trị bệnh nhân 12/ CÁC DI CHỨNG PHỔI CỦA NHỮNG BỆNH NHÂN SỐNG SÓT HỘI CHỨNG SUY KIỆT PHỔI CẤP TÍNH (ARDS) ?  đáng ngạc nhiên, vài bệnh nhân thật n...

Ngày tải lên: 26/07/2014, 19:20