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 …

Mechanical ventilation: state of the art

T Pham, LJ Brochard, AS Slutsky - Mayo Clinic Proceedings, 2017 - Elsevier
Mechanical ventilation is the most used short-term life support technique worldwide and is
applied daily for a diverse spectrum of indications, from scheduled surgical procedures to …

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 …

Esophageal and transpulmonary pressure in the clinical setting: meaning, usefulness and perspectives

T Mauri, T Yoshida, G Bellani, EC Goligher… - Intensive care …, 2016 - Springer
Abstract Purpose Esophageal pressure (Pes) is a minimally invasive advanced respiratory
monitoring method with the potential to guide management of ventilation support and …

Critical illness-associated diaphragm weakness

M Dres, EC Goligher, LMA Heunks, LJ Brochard - Intensive Care Medicine, 2017 - Springer
Diaphragm weakness is highly prevalent in critically ill patients. It may exist prior to ICU
admission and may precipitate the need for mechanical ventilation but it also frequently …

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 …

The application of esophageal pressure measurement in patients with respiratory failure

E Akoumianaki, SM Maggiore, F Valenza… - American journal of …, 2014 - atsjournals.org
This report summarizes current physiological and technical knowledge on esophageal
pressure (Pes) measurements in patients receiving mechanical ventilation. The respiratory …

A novel non-invasive method to detect excessively high respiratory effort and dynamic transpulmonary driving pressure during mechanical ventilation

M Bertoni, I Telias, M Urner, M Long, L Del Sorbo… - Critical Care, 2019 - Springer
Background Excessive respiratory muscle effort during mechanical ventilation may cause
patient self-inflicted lung injury and load-induced diaphragm myotrauma, but there are no …

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 …

Clinical challenges in mechanical ventilation

EC Goligher, ND Ferguson, LJ Brochard - The Lancet, 2016 - thelancet.com
Mechanical ventilation supports gas exchange and alleviates the work of breathing when
the respiratory muscles are overwhelmed by an acute pulmonary or systemic insult …