prone positioning in severe acute respiratory distress syndrome ppt

... substantial contribution in analysing and interpreting the patient’s data during the ICU admission and has been involved in drafting the manuscript for the part concerning the ICU admission. He gave final approval ... journal. Competing interests The authors declare that they have no competing interests. Authors’ contributions CB was the major contributor in collecting the patient’s data and writing the manuscript. ... gave final approval of the version to be published. VL made a substantial contribution in the data-analysis and interpretation, and has been involved in drafting the manuscript. She gave final...

Ngày tải lên: 11/08/2014, 17:21

Ngày tải lên: 13/08/2014, 03:20

... concentration in pulmonary epithelial lining fluid is a useful prognostic indicator in patients with acute respiratory distress syndrome. Respiratory Research 2011 12:32. Kondo et al. Respiratory ... intense inflammatory and profibrotic reactions in the early phase of acute respiratory distress syndrome. Crit Care Med 1999, 27:304-312. 2. Ware LB, Matthay MA: Medical progress: the acute respiratory ... Nakamura M, Fang X, Martin TR, Matthay MA, Hashimoto S: Elevation of KL-6, a lung epithelial cell marker, in plasma and epithelial lining fluid in acute respiratory distress syndrome. Am J Physiol...

Ngày tải lên: 12/08/2014, 13:22

... cGMP increased significantly during NO inhalation. EVLWI did not change either during ANP infu- sion or during NO inhalation. In patients who responded to NO inhalation with an increase in PaO 2 /F i O 2 > ... only a modest increase in the arterial concentration during the infusion of ANP. Since ANP was infused on the venous side of the circulation, these find- ings suggest that most of the infused ANP ... research Primary research Atrial natriuretic peptide infusion and nitric oxide inhalation in patients with acute respiratory distress syndrome Alexander JGH Bindels* § , Johannes G van der Hoeven* ¶ ,...

Ngày tải lên: 12/08/2014, 18:21

... lung volume caused by open ETS in ventilator-treated patients with acute lung injury or acute respiratory distress syndrome. Keywords acute respiratory distress syndrome, alveolar recruitment, ... acute lung injury; ARDS = acute respiratory distress syndrome; EELV = end-expiratory lung volume; ETS = endotracheal suctioning; FiO 2 = fractional inspired oxygen; LIP = lower inflection point; ... saturation. Abstract Introduction Lung collapse is a contributory factor in the hypoxaemia that is observed after open endotracheal suctioning (ETS) in patients with acute lung injury and acute respiratory distress syndrome. ...

Ngày tải lên: 12/08/2014, 19:21

... adequate mechanical ventilation in acute lung injury and acute respiratory distress syndrome (ARDS). In the present study we tested the effect on gastric intramucosal pH of incremental increases in PEEP level ... http://ccforum.com/content/7/3/R17 Research Gastric intramucosal pH is stable during titration of positive end-expiratory pressure to improve oxygenation in acute respiratory distress syndrome Ibrahim Ozkan Akinci 1 , Nahit Çakar 2 , ... of acute lung injury (ALI) and acute respiratory distress syndrome (ARDS). PEEP improves oxygenation by redistributing the alveolar fluid and restores functional residual capacity by keeping...

Ngày tải lên: 12/08/2014, 19:22

Ngày tải lên: 13/08/2014, 03:20

Ngày tải lên: 13/08/2014, 10:20

... a benefit to prone positioning. Commentary Pro/con clinical debate: The use of prone positioning in the management of patients with acute respiratory distress syndrome John J Marini* and Gordon ... complications, such as ocular injury, jugular vein compression, and skin ulceration at points of increased pressure (for instance, the nose, chin, or knees). Maintaining a supine position may also be ... withholding effective life-saving therapy from a patient with ARDS by deciding not to put the patient in the prone position. Clinicians who choose ventilation in the prone position are applying experimental...

Ngày tải lên: 12/08/2014, 18:21

Ngày tải lên: 12/08/2014, 23:23

Ngày tải lên: 13/08/2014, 23:20

... written, informed consent was obtained. After intubation with a cuffed tube, all patients received into the trachea 20 ml of normal saline containing 7.5 mg of 13 C-dipalmitoyl- phosphatidylcholine ... number not for citation purposes) Respiratory Research Open Access Research Surfactant disaturated-phosphatidylcholine kinetics in acute respiratory distress syndrome by stable isotopes and a ... therapeutic options. Intensive Care Med 2001, 27:1699-1717. 5. Haitsma JJ, Papadakos PJ, Lachmann B: Surfactant therapy for acute lung injury /acute respiratory distress syndrome. Curr Opin Crit Care...

Ngày tải lên: 12/08/2014, 15:20

... implicated in the course of inflammatory lung diseases such as the Acute Respiratory Distress Syndrome (ARDS). Indeed, in clinical studies focusing on ARDS [3-6] and, more recently, on severe pneumonia ... volumes as compared with traditional tidal 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. 15. ... regimen, may indeed promote better outcome in ARDS. In this line of reasoning, multiple surfactant dos- ing with persistent improvement in gas exchange may ultimately improve outcome in ARDS. Conclusion We...

Ngày tải lên: 12/08/2014, 15:21

... resistance index (∆PVRI) induced by increasing inspiratory intratracheal concentrations of inhaled NO (Insp IT NO) in the presence (n = 8, ●) or absence (n = 8, ❍) of septic shock in 16 patients ... oxide in patients with adult respiratory distress syndrome. Anesthesiol- ogy 1994, 80:761-770. 7. Young JD, Brampton WJ, Knighton JD, Finfer SR: Inhaled nitric oxide in acute respiratory failure in ... decrease in MPAP and an increase in PaO 2 /FiO 2 in the range of 0.15 to 150 ppm inhaled NO. Toxic effects of increasing concentrations of inhaled NO As shown in Table 3, methemoglobin and NO 2 ...

Ngày tải lên: 12/08/2014, 18:20

... and their interactions [1]. The common increase in the elastance (decrease in compliance) of the whole respiratory system in acute lung injury (ALI) and in acute respiratory distress syndrome ... importance of chest wall elastance in characterizing acute lung injury /acute respiratory distress syndrome patients and in setting mechanical ventilation is increasingly recognized. Nearly 30% of patients ... the intra-abdominal pressure is altered. We in fact found that chest wall elastance increases linearly with the intra-abdominal pressure according to the following equation: E cw = 0.47 × intra- abdominal...

Ngày tải lên: 12/08/2014, 20:20

... in the acute respiratory distress syndrome. N Engl J Med 1998, 338:347-354. 3. Gutierrez G, Palizas F, Doglio G, Wainsztein N, Gallesio A, Pacin J, Dubin A, Schiavi E, Jorge M, Pusajo J, Klein ... NS APACHE, Acute Physiology and Chronic Health Evaluation; Crs, Respiratory system compliance; Dbt, dobutamine; Dp, dopamine; LIP, lower inflection point; NE, norepinephrine (noradrenaline); NL, ... applied in four consecutive 30 min periods, respectively. Respiratory rate was modified to main- tain end tidal CO 2 within ± 10 mmHg of basal. All patients were receiving a constant infusion...

Ngày tải lên: 12/08/2014, 20:20

... [11,12], adequate replacement of intravascular fluid volumes is required to maintain cardiac Commentary Positive end-expiratory pressure in acute respiratory distress syndrome – an old yet mysterious ... end-expiratory pressure (PEEP) into the practice of mechanical ventilation in patients with acute respiratory distress syndrome (ARDS) [1] was among the most important milestones in critical care therapy. However, ... ventilation for patients with acute lung injury or ARDS [7] increasingly recommend fairly high levels of PEEP. In view of this, any data that may improve our understanding of the benefits and dangers...

Ngày tải lên: 12/08/2014, 20:20

... was present only in one patient (no. 13). Clinical data are given in Table 1. Twenty healthy non- smoking students independent of the investigating institutions were enrolled and interviewed to ... ventilation by a moderate increase in PEEP. Accordingly, increasing PEEP from 0 to 15 cmH 2 O has been shown in a study of pulmonary mechanics to increase pulmonary compliance in some patients, which ... CT scanned in maintained apnoea. The rebreathing proce- dure was performed in duplicate before and after a single CT exposure. Before the supine measurements, the nose-clipped, supine and relaxed...

Ngày tải lên: 12/08/2014, 22:21

... mortality in the acute respiratory distress syn- drome. N Engl J Med 1998, 338:347–354. Figure 1 Thoracic tomography of two different models of acute lung injury /acute respiratory distress syndrome ... be kept in the mind of the critical care physicians when treating a patient with ARDS in the intensive care unit. Competing interests The author(s) declare that they have no competing interests. References 1. ... ventilation [1]. (b) CT scan of acute respiratory distress syndrome patients before and after a recruitment maneuver with 60 cmH 2 O maximal inspiratory pressure maintaining PEEP values of 20 and 25...

Ngày tải lên: 12/08/2014, 22:22

... mortality. Oxygenation index was a determinant of mortality independent of other disease severity markers. Introduction Acute respiratory distress syndrome (ARDS) is a clinical con- dition that ... adult respiratory distress syndrome – a pilot study. Crit Care Med 1997, 25:937-947. 16. Ware LB: Prognostic determinants of acute respiratory dis- tress syndrome in adults: impact on clinical trial ... MA: Efficacy of low tidal volume ventilation in patients with different clinical risk factors for acute lung injury and the acute respiratory distress syndrome. Am J Respir Crit Care Med 2001, 164:231-236. Key...

Ngày tải lên: 12/08/2014, 23:21