[HTML][HTML] Clinical strategies for implementing lung and diaphragm-protective ventilation: avoiding insufficient and excessive effort

EC Goligher, AH Jonkman, J Dianti, K Vaporidi… - Intensive care …, 2020 - Springer
Mechanical ventilation may have adverse effects on both the lung and the diaphragm. Injury
to the lung is mediated by excessive mechanical stress and strain, whereas the diaphragm …

Patient-self inflicted lung injury: a practical review

G Carteaux, M Parfait, M Combet… - Journal of clinical …, 2021 - mdpi.com
Patients with severe lung injury usually have a high respiratory drive, resulting in intense
inspiratory effort that may even worsen lung damage by several mechanisms gathered …

Lung-and diaphragm-protective ventilation

EC Goligher, M Dres, BK Patel, SK Sahetya… - American journal of …, 2020 - atsjournals.org
Mechanical ventilation can cause acute diaphragm atrophy and injury, and this is associated
with poor clinical outcomes. Although the importance and impact of lung-protective …

High respiratory drive and excessive respiratory efforts predict relapse of respiratory failure in critically ill patients with COVID-19

P Esnault, M Cardinale, S Hraiech… - American Journal of …, 2020 - atsjournals.org
Methods We conducted a retrospective, bicenter study at the Sainte Anne Military Hospital
and the Marseille University North Hospital. This study enrolled critically ill patients with mild …

Performance of noninvasive airway occlusion maneuvers to assess lung stress and diaphragm effort in mechanically ventilated critically ill patients

HJ de Vries, PR Tuinman, AH Jonkman, L Liu… - …, 2023 - ingentaconnect.com
Background: Monitoring and controlling lung stress and diaphragm effort has been
hypothesized to limit lung injury and diaphragm injury. The occluded inspiratory airway …

Advanced point-of-care bedside monitoring for acute respiratory failure

G Cammarota, R Simonte, F Longhini… - …, 2023 - ingentaconnect.com
Advanced respiratory monitoring involves several mini-or noninvasive tools, applicable at
bedside, focused on assessing lung aeration and morphology, lung recruitment and …

[HTML][HTML] The oesophageal balloon for respiratory monitoring in ventilated patients: updated clinical review and practical aspects

AH Jonkman, I Telias, E Spinelli… - European …, 2023 - Eur Respiratory Soc
There is a well-recognised importance for personalising mechanical ventilation settings to
protect the lungs and the diaphragm for each individual patient. Measurement of …

Clinical risk factors for increased respiratory drive in intubated hypoxemic patients

E Spinelli, A Pesenti, D Slobod, C Fornari, R Fumagalli… - Critical Care, 2023 - Springer
Background There is very limited evidence identifying factors that increase respiratory drive
in hypoxemic intubated patients. Most physiological determinants of respiratory drive cannot …

The physiological underpinnings of life-saving respiratory support

I Telias, LJ Brochard, S Gattarello, H Wunsch… - Intensive care …, 2022 - Springer
Abstract Treatment of respiratory failure has improved dramatically since the polio epidemic
in the 1950s with the use of invasive techniques for respiratory support: mechanical …

Discordance between respiratory drive and sedation depth in critically ill patients receiving mechanical ventilation

AL Dzierba, AM Khalil, KL Derry, P Madahar… - Critical care …, 2021 - journals.lww.com
OBJECTIVES: In mechanically ventilated patients, deep sedation is often assumed to induce
“respirolysis,” that is, lyse spontaneous respiratory effort, whereas light sedation is often …