[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 …

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 …

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 …

Respiratory drive in critically ill patients. Pathophysiology and clinical implications

K Vaporidi, E Akoumianaki, I Telias… - American journal of …, 2020 - atsjournals.org
Respiratory drive, the intensity of the respiratory center's output, determines the effort
exerted in each breath. The increasing awareness of the adverse effects of both strong and …

Proportional modes of ventilation: technology to assist physiology

AH Jonkman, M Rauseo, G Carteaux, I Telias… - Intensive care …, 2020 - Springer
Proportional modes of ventilation assist the patient by adapting to his/her effort, which
contrasts with all other modes. The two proportional modes are referred to as neurally …

Driving pressure of respiratory system and lung stress in mechanically ventilated patients with active breathing

V Stamatopoulou, E Akoumianaki, K Vaporidi… - Critical Care, 2024 - Springer
Background During control mechanical ventilation (CMV), the driving pressure of the
respiratory system (Δ P rs) serves as a surrogate of transpulmonary driving pressure (Δ P …

NAVA and PAV+ for lung and diaphragm protection

K Vaporidi - Current opinion in critical care, 2020 - journals.lww.com
NAVA and PAV+ for lung and diaphragm protection : Current Opinion in Critical Care NAVA
and PAV+ for lung and diaphragm protection : Current Opinion in Critical Care Log in or …

Airway pressure morphology and respiratory muscle activity during end-inspiratory occlusions in pressure support ventilation

S Soundoulounaki, E Akoumianaki, E Kondili… - Critical Care, 2020 - Springer
Background The driving pressure of the respiratory system is a valuable indicator of global
lung stress during passive mechanical ventilation. Monitoring lung stress in assisted …

Lung and diaphragm protective ventilation: a synthesis of recent data

V Karageorgos, A Proklou… - Expert Review of …, 2022 - Taylor & Francis
Introduction: To adhere to the Hippocratic Oath, to 'first, do no harm', we need to make every
effort to minimize the adverse effects of mechanical ventilation. Our understanding of the …

A closed-loop ventilation mode that targets the lowest work and force of breathing reduces the transpulmonary driving pressure in patients with moderate-to-severe …

LA Buiteman-Kruizinga, DMP van Meenen… - Intensive Care Medicine …, 2023 - Springer
Introduction The driving pressure (Δ P) has an independent association with outcome in
patients with acute respiratory distress syndrome (ARDS). INTELLiVENT-Adaptive Support …