TITLE

Clinical value of pulse pressure variations in ARDS. Still an unresolved issue?

AUTHOR(S)
Teboul, Jean-Louis; Vieillard-Baron, Antoine
PUB. DATE
April 2005
SOURCE
Intensive Care Medicine;Apr2005, Vol. 31 Issue 4, p499
SOURCE TYPE
Academic Journal
DOC. TYPE
commentary
ABSTRACT
This article focuses on pulse pressure variations in acute respiratory distress syndrome. Volume responsiveness, which refers to the ability of the heart to increase its stroke volume in response to volume load, denotes the presence of a preload reserve. Pulse pressure variation over the respiratory cycle reflecting respiratory changes in stroke volume has been shown to be more reliable than traditional markers of preload when assessing volume responsiveness in mechanically ventilated patients with acute lung injury or acute respiratory distress syndrome (ARDS), or after cardiac surgery. Patients with ARDS exhibit a marked decrease in lung compliance.
ACCESSION #
16526191

 

Related Articles

  • Positive End-Expiratory Pressure Setting in Adults With Acute Lung Injury and Acute Respiratory Distress Syndrome. Mercat, Alain; Richard, Jean-Christopher M.; Vielle, Bruno; Jaber, Samir; Osman, David; Diehl, Jean-Luc; Lefrant, Jean-Yves; Prat, Giemaël; Richecoeur, Jack; Nieszkowska, Ania; Gervais, Claude; Baudot, Jérôme; Bouadma, Lila; Brochard, Laurent // JAMA: Journal of the American Medical Association;2/13/2008, Vol. 299 Issue 6, p646 

    The article discusses research which compared the effect on outcome of a strategy for setting positive end-expiratory pressure (PEEP) aimed at increasing alveolar recruitment while limiting hyperinflation to one aimed at minimizing alvolear distension in patients with acute lung injury (ALI)....

  • Protection from experimental ventilator-induced acute lung injury by IL-1 receptor blockade. Frank, J. A.; Pittet, J.-F.; Wray, C.; Matthay, M. A. // Thorax;Feb2008, Vol. 63 Issue 2, p147 

    Background: Clinical studies have shown that injurious mechanical ventilation is associated with increased airspace and plasma levels of interleukin-1beta (IL-1beta); however, the potential therapeutic value of IL-1 inhibition in acute lung injury has not been thoroughly...

  • Novel positioning solution for difficult tracheostomy. Abrons, Ron O. // Saudi Journal of Anaesthesia;Apr-Jun2016, Vol. 10 Issue 2, p240 

    The article discusses the case of a morbidly obese patient who underwent tracheostomy for acute respiratory failure. Topics discussed include the patient's medical history, challenges in the positioning of the patient during the tracheostomy, and the use of a chest-suspension technique for the...

  • Ventilation Strategy Using Low Tidal Volumes, Recruitment Maneuvers, and High Positive End-Expiratory Pressure for Acute Lung Injury and Acute Respiratory Distress Syndrome. Meade, Maureen O.; Cook, Deborah J.; Guyatt, Gordon H.; Slutsky, Arthur S.; Arabi, Yaseen M.; Cooper, D. James; Davies, Andrew R.; Hand, Lori E.; Qi Zhou; Thabane, Lehana; Austin, Peggy; Lapinsky, Stephen; Baxter, Alan; Russell, James; Skrobik, Yoanna; Ronco, Juan J.; Stewart, Thomas E. // JAMA: Journal of the American Medical Association;2/13/2008, Vol. 299 Issue 6, p637 

    The article presents a discussion of research which compared an established low tidal-volume ventilation strategy with an experimental strategy based on the original open lung approach combining low tidal volume, lung recruitment maneuvers and high positive end expiratory pressure. The research...

  • EVALUATION OF LUNG INFILTRATION SCORE TO PREDICT POSTURAL HYPOXEMIA IN VENTILATED ACUTE RESPIRATORY DISTRESS SYNDROME PATIENTS AND THE LATERALIZATION OF SKIN PRESSURE SORE. Tripathi, Mukesh; Pandey, Mamta; Nepal, Bharat; Rai, Hari; Bhattarai, Balkrishna // Indian Journal of Medical Sciences;Sep2009, Vol. 63 Issue 9, p392 

    CONTEXT: Mechanical ventilation with positive end expiratory pressure (PEEP) is associated with unequal aeration of lungs in acute respiratory distress syndrome (ARDS) patients. Therefore, patients may develop asymmetric atelectasis and postural hypoxemia during lateral positioning. AIMS: To...

  • Clinical assessments of high frequency oscillatory ventilation. Stern, Thomas // Thorax;Sep2007, Vol. 62 Issue 9, p813 

    This article presents a study which compares the effect of three modes of ventilation on cardiovascular and respiratory physiologic variables in 14 patients with acute respiratory distress syndrome (ARDS). The modes of ventilation includes high frequency oscillation (HFO), conventional...

  • VEGF Production by Ly6C+high Monocytes Contributes to Ventilator-Induced Lung Injury. Shi, Chung-Sheng; Huang, Tzu-Hsiung; Lin, Chin-Kuo; Li, Jhy-Ming; Chen, Mei-Hsin; Tsai, Mei-Ling; Chang, Chih-Ching // PLoS ONE;10/26/2016, Vol. 11 Issue 10, p1 

    Background: Mechanical ventilation is a life-saving procedure for patients with acute respiratory failure, although it may cause pulmonary vascular inflammation and leakage, leading to ventilator-induced lung injury (VILI). Ly6C+high monocytes are involved in the pathogenesis of VILI. In this...

  • What do we treat when we treat ARDS? Yoshida, Takeshi; Boylan, John; Kavanagh, Brian; Boylan, John F; Kavanagh, Brian P // Intensive Care Medicine;Feb2016, Vol. 42 Issue 2, p284 

    The authors discuss intensive care practices related to treatment of acute respiratory distress syndrome (ARDS), with reference to a study on the same by J.A. Lorente and others, as of January 2016. They state the conflicts over the definition of ARDS, and mention the use of diffuse alveolar...

  • Prevention of LPS-induced acute lung injury in mice by mesenchymal stem cells overexpressing angiopoietin 1. Mei, Shirley H. J.; McCarter, Sarah D.; Yupu Deng; Parker, Colleen H.; Liles, W. Conrad; Stewart, Duncan J.; Deng, Yupu // PLoS Medicine;Sep2007, Vol. 4 Issue 9, pe269 

    Background: The acute respiratory distress syndrome (ARDS), a clinical complication of severe acute lung injury (ALI) in humans, is a leading cause of morbidity and mortality in critically ill patients. ALI is characterized by disruption of the lung alveolar-capillary membrane...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics