[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 …
to the lung is mediated by excessive mechanical stress and strain, whereas the diaphragm …
Respiratory drive in the acute respiratory distress syndrome: pathophysiology, monitoring, and therapeutic interventions
E Spinelli, T Mauri, JR Beitler, A Pesenti… - Intensive care medicine, 2020 - Springer
Neural respiratory drive, ie, the activity of respiratory centres controlling breathing, is an
overlooked physiologic variable which affects the pathophysiology and the clinical outcome …
overlooked physiologic variable which affects the pathophysiology and the clinical outcome …
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 …
with poor clinical outcomes. Although the importance and impact of lung-protective …
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 …
inspiratory effort that may even worsen lung damage by several mechanisms gathered …
Airway occlusion pressure as an estimate of respiratory drive and inspiratory effort during assisted ventilation
I Telias, D Junhasavasdikul, N Rittayamai… - American journal of …, 2020 - atsjournals.org
Rationale: Monitoring and controlling respiratory drive and effort may help to minimize lung
and diaphragm injury. Airway occlusion pressure (P0. 1) is a noninvasive measure of …
and diaphragm injury. Airway occlusion pressure (P0. 1) is a noninvasive measure of …
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 …
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 …
hypothesized to limit lung injury and diaphragm injury. The occluded inspiratory airway …
Monitoring patient respiratory effort during mechanical ventilation: lung and diaphragm-protective ventilation
M Bertoni, S Spadaro, EC Goligher - Annual update in intensive care and …, 2020 - Springer
During assisted mechanical ventilation, spontaneous inspiratory effort can cause both lung
(patient self-inflicted lung injury [P-SILI]) and diaphragm injury. While clinicians are primarily …
(patient self-inflicted lung injury [P-SILI]) and diaphragm injury. While clinicians are primarily …
[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 …
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 …
in hypoxemic intubated patients. Most physiological determinants of respiratory drive cannot …