Journals / Toraks Dergisi / 2007 / Cilt: 8 - Sayı: 3

Mechanical ventilation in ARDS patients

ARDS gelişen olgularda mekanik ventilasyon

Pages
185–191
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The aim is a systematic and up-to-date treatment of ARDS in our country with watchfully collected evidence based data.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:ARDS is a relatively common syndrome encountered in intensive care units and its mortality is gradually diminishing due to nearly forty years of experience and research.
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Key Findings & Data:Based on the studies published till nowadays, this review has the purpose to outline the proper mechanical ventilation strategies for ARDS patients.
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Conclusion & Impact:The aim is a systematic and up-to-date treatment of ARDS in our country with watchfully collected evidence based data.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Solunum · yapay · Ventilatörler

Abstract

ARDS is a relatively common syndrome encountered in intensive care units and its mortality is gradually diminishing due to nearly forty years of experience and research. Mechanical ventilation is the major treatment of this syndrome but its misuse may trigger or worsen this pathology it is actually trying to cure. For that reason, the proper use of mechanical ventilation is crucial for the outcome. Based on the studies published till nowadays, this review has the purpose to outline the proper mechanical ventilation strategies for ARDS patients. The aim is a systematic and up-to-date treatment of ARDS in our country with watchfully collected evidence based data.

Özet

ARDS yoğun bakımda sıkça görülen bir sendromdur ve kırk seneye yakın tecrübe birikimi ve araştırmalar sayesinde günümüzde mortalitesi git gide azalmaktadır. Mekanik Ventilasyon bu sendromun tedavisinde temel rol oynamakla birlikte yanlış uygulamaları, tedavi ettiği patolojiyi tetikleyici veya ağırlaştırıcı olabilmektedir. Bu nedenle ARDS’li olgularda mekanik ventilasyonun doğru uygulanması sonuç açısından son derece önemlidir. Bu derlemenin amacı, bu güne kadar yayınlanmış çalışmalara dayanarak, ARDS’li olgularda en uygun mekanik ventilasyon stratejilerini ortaya koymaktır. Kanıta dayalı olmasına özen gösterilmiş bu verilerle ülkemizde ARDS’nin daha güncel ve sistematik tedavi edilmesi hedef alınmıştır.

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Cite This Article

BODUR, H. A., SAYGILI, F., DOĞANAY, L. (2007). Mechanical ventilation in ARDS patients. Toraks Dergisi, Cilt: 8 - Sayı: 3, 185–191. https://ajindex.com/articles/367920

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References (12)

  1. Ashbaugh DG, Bigelow DB, Petty TL, Levine BE. Acute respiratory distress in adults. Lancet 1967;2:319-23
  2. Bernard GR, Artigas A, Brigham KL et al. Th e American-European Consensus Conference on ARDS. Defi nitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med 1994;149:818-24
  3. Goodman LR, Fumagalli R, Tagliabue P et al. Adult respiratory distress syndrome due to pulmonary and extrapulmonary causes: CT, clinical, and functional correlations. Radiology 1999;213:545- 52
  4. Gattinoni L, Pelosi P, Suter PM, Pedoto A, Vercesi P, Lissoni A. Acute respiratory distress syndrome caused by pulmonary and extrapulmonary disease. Diff erent syndromes? Am J Respir Crit Care Med 1998;158:3-11
  5. Lim CM, Kim EK, Lee JS et al. Comparison of the response to the prone position between pulmonary and extrapulmonary acute respiratory distress syndrome. Intensive Care Med 2001;27:477- 85
  6. Esteban A, Fernandez-Segoviano P, Frutos-Vivar F et al. Comparison of clinical criteria for the acute respiratory distress syndrome with autopsy fi ndings. Ann Intern Med 2004;141:440-5
  7. Donnelly TJ, Meade P, Jagels M et al. Cytokine, complement, and endotoxin profi les associated with the development of the adult respiratory distress syndrome after severe injury. Crit Care Med 1994;22:768-76
  8. Meduri GU, Kohler G, Headley S et al. Infl ammatory cytokines in the BAL of patients with ARDS. Persistent elevation over time predicts poor outcome. Chest 1995;108;1303-14
  9. Dreyfuss D, Basset G, Soler P, Saumon G. Intermittent positive pressure hyperventilation with high infl ation pressures produces pulmonary microvascular injury in rats. Am Rev Respir Dis 1985; 132: 880-4 10) Gillette MA, Hess DR. Ventilator-induced lung injury and the evolution of lung-protective strategies in acute respiratory distress syndrome. Respir Care 2001;46:130-48
  10. Tschumperlin DJ, Oswari J, Margulies AS. Deformation-induced injury of alveolar epithelial cells. Eff ect of frequency, duration, and amplitude. Am J Respir Crit Care Med 2000;162(2 Pt 1):357-62
  11. Quinn DA, Moufarrej RK, Volokhov A, Hales CA. Interactions of lung stretch, hyperoxia, and MIP-2 production in ventilatorinduced lung injury. J Appl Physiol 2002;93:517-25
  12. Parsons PE, Matthay MA, Ware LB, Eisner MD; National Heart, Lung, Blood Institute Acute Respiratory Distress Syndrome Clinical Trials Network. Elevated plasma levels of soluble TNF receptors are associated with morbidity and mo