First stabilize and then gradually recruit: a paradigm shift in protective mechanical ventilation for acute lung injury

GF Nieman, DW Kaczka, PL Andrews, A Ghosh… - Journal of clinical …, 2023 - mdpi.com
Acute respiratory distress syndrome (ARDS) is associated with a heterogeneous pattern of
injury throughout the lung parenchyma that alters regional alveolar opening and collapse …

Unshrinking the baby lung to calm the VILI vortex

G Nieman, M Kollisch-Singule, H Ramcharran… - Critical Care, 2022 - Springer
A hallmark of ARDS is progressive shrinking of the 'baby lung,'now referred to as the
ventilator-induced lung injury (VILI)'vortex.'Reducing the risk of the VILI vortex is the goal of …

Early airway pressure release ventilation prevents ARDS—a novel preventive approach to lung injury

S Roy, N Habashi, B Sadowitz, P Andrews, L Ge… - Shock, 2013 - journals.lww.com
Acute respiratory distress syndrome (ARDS) afflicts 200,000 patients annually with a
mortality rate of 30% to 60% despite wide use of low tidal volume (LTV) ventilation, the …

Variable stretch pattern enhances surfactant secretion in alveolar type II cells in culture

SP Arold, E Bartolák-Suki… - American Journal of …, 2009 - journals.physiology.org
Secretion of pulmonary surfactant that maintains low surface tension within the lung is
primarily mediated by mechanical stretching of alveolar epithelial type II (AEII) cells. We …

Non-lobar atelectasis generates inflammation and structural alveolar injury in the surrounding healthy tissue during mechanical ventilation

J Retamal, BC Bergamini, AR Carvalho, FA Bozza… - Critical care, 2014 - Springer
Introduction When alveoli collapse the traction forces exerted on their walls by adjacent
expanded units may increase and concentrate. These forces may promote its re-expansion …

Dynamic lung aeration and strain with positive end-expiratory pressure individualized to maximal compliance versus ARDSNet low-stretch strategy: a study in a …

C Zeng, M Zhu, G Motta-Ribeiro, D Lagier, T Hinoshita… - Critical Care, 2023 - Springer
Background Positive end-expiratory pressure (PEEP) individualized to a maximal respiratory
system compliance directly implies minimal driving pressures with potential outcome …

Inflammation and lung maturation from stretch injury in preterm fetal sheep

NH Hillman, GR Polglase… - … of Physiology-Lung …, 2011 - journals.physiology.org
Mechanical ventilation is a risk factor for the development of bronchopulmonary dysplasia in
premature infants. Fifteen minutes of high tidal volume (Vt) ventilation induces inflammatory …

Airway injury from initiating ventilation in preterm sheep

NH Hillman, SG Kallapur, JJ Pillow, TJM Moss… - Pediatric …, 2010 - nature.com
Premature infants exposed to ventilation are at risk of developing bronchopulmonary
dysplasia and persistent lung disease in childhood. We report where injury occurred within …

Protective ventilation in a pig model of acute lung injury: timing is as important as pressure

H Ramcharran, JHT Bates, J Satalin… - Journal of applied …, 2022 - journals.physiology.org
Ventilator-induced lung injury (VILI) is a significant risk for patients with acute respiratory
distress syndrome (ARDS). Management of the patient with ARDS is currently dominated by …

Early stabilizing alveolar ventilation prevents acute respiratory distress syndrome: a novel timing-based ventilatory intervention to avert lung injury

S Roy, B Sadowitz, P Andrews, LA Gatto… - Journal of Trauma …, 2012 - journals.lww.com
Early stabilizing alveolar ventilation prevents acute respir... : Journal of Trauma and Acute Care
Surgery Early stabilizing alveolar ventilation prevents acute respiratory distress syndrome: A …