Acute respiratory distress syndrome (ARDS) remains a disease with high mortality rates despite recent therapeutic advances [1]. Although mechanical ventilation can be lifesaving, inappropriate use of the ventilator can itself promote lung injury. It could be useful to know the mechanics characteristics of the respiratory system in order to be able to set a protective ventilation strategy, because ARDS is a syndrome with marked clinical variability. The assessment of respiratory mechanics is important in mechanically ventilated patients because acute respiratory failure is most often the consequence of severe abnormalities in the mechanical properties of the respiratory system, including its lung and chest wall components [2]. Despite possible technical artifacts, recording of the esophageal pressure (Pes) provides the opportunity of estimating pleural pressure (PPl), to partition the mechanics and better understand the underlying pulmonary injury.

Esophageal pressure monitoring in ARDS / D. Chiumello, S. Coppola, S. Froio (ANNUAL UPDATE IN INTENSIVE CARE AND EMERGENCY MEDICINE). - In: Annual updated in Intensive Care and Emergency Medicine 2013 / [a cura di] J.-L. Vincent. - Riedizione. - [s.l] : Springer, 2013. - ISBN 9783642351082. - pp. 451-463 [10.1007/978-3-642-35109-9_37]

Esophageal pressure monitoring in ARDS

Chiumello D;Coppola S;Froio S
2013

Abstract

Acute respiratory distress syndrome (ARDS) remains a disease with high mortality rates despite recent therapeutic advances [1]. Although mechanical ventilation can be lifesaving, inappropriate use of the ventilator can itself promote lung injury. It could be useful to know the mechanics characteristics of the respiratory system in order to be able to set a protective ventilation strategy, because ARDS is a syndrome with marked clinical variability. The assessment of respiratory mechanics is important in mechanically ventilated patients because acute respiratory failure is most often the consequence of severe abnormalities in the mechanical properties of the respiratory system, including its lung and chest wall components [2]. Despite possible technical artifacts, recording of the esophageal pressure (Pes) provides the opportunity of estimating pleural pressure (PPl), to partition the mechanics and better understand the underlying pulmonary injury.
Chest Wall; Acute Lung; Injury Acute Respiratory; Distress Syndrome; Respiratory Mechanic; Acute Respiratory Distress Syndrome Patient
Settore MED/41 - Anestesiologia
Book Part (author)
File in questo prodotto:
Non ci sono file associati a questo prodotto.
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/632961
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus ND
  • ???jsp.display-item.citation.isi??? ND
social impact