Fifty Years of Research in ARDS. Spontaneous Breathing during Mechanical Ventilation. Risks, Mechanisms, and Management

T Yoshida, Y Fujino, MBP Amato… - American journal of …, 2017 - atsjournals.org
Spontaneous respiratory effort during mechanical ventilation has long been recognized to
improve oxygenation, and because oxygenation is a key management target, such effort …

[HTML][HTML] Noninvasive respiratory support and patient self-inflicted lung injury in COVID-19: a narrative review

D Battaglini, C Robba, L Ball, PL Silva, FF Cruz… - British Journal of …, 2021 - Elsevier
COVID-19 pneumonia is associated with hypoxaemic respiratory failure, ranging from mild
to severe. Because of the worldwide shortage of ICU beds, a relatively high number of …

Early application of airway pressure release ventilation may reduce the duration of mechanical ventilation in acute respiratory distress syndrome

Y Zhou, X Jin, Y Lv, P Wang, Y Yang, G Liang… - Intensive care …, 2017 - Springer
Purpose Experimental animal models of acute respiratory distress syndrome (ARDS) have
shown that the updated airway pressure release ventilation (APRV) methodologies may …

Spontaneously regulated vs. controlled ventilation of acute lung injury/acute respiratory distress syndrome

JJ Marini - Current opinion in critical care, 2011 - journals.lww.com
Optimizing gas exchange, avoiding lung injury, and preserving respiratory muscle strength
and endurance are vital therapeutic objectives for managing acute lung injury. Accordingly …

Fifty Years of Research in ARDS.Gas Exchange in Acute Respiratory Distress Syndrome

P Radermacher, SM Maggiore… - American journal of …, 2017 - atsjournals.org
Acute respiratory distress syndrome (ARDS) is characterized by severe impairment of gas
exchange. Hypoxemia is mainly due to intrapulmonary shunt, whereas increased alveolar …

Physiologic effects of noninvasive ventilation

NR MacIntyre - Respiratory care, 2019 - rc.rcjournal.com
Noninvasive ventilation (NIV) has a number of physiologic effects similar to invasive
ventilation. The major effects are to augment minute ventilation and reduce muscle loading …

Volume-controlled ventilation does not prevent injurious inflation during spontaneous effort

T Yoshida, S Nakahashi, MAM Nakamura… - American journal of …, 2017 - atsjournals.org
Rationale: Spontaneous breathing during mechanical ventilation increases transpulmonary
pressure and Vt, and worsens lung injury. Intuitively, controlling Vt and transpulmonary …

High failure rate of noninvasive oxygenation strategies in critically ill subjects with acute hypoxemic respiratory failure due to COVID-19

LS Menga, L Delle Cese, F Bongiovanni… - Respiratory …, 2021 - rc.rcjournal.com
BACKGROUND: The efficacy of noninvasive oxygenation strategies (NIOS) in treating
COVID-19 disease is unknown. We conducted a prospective observational study to assess …

Impact of spontaneous breathing during mechanical ventilation in acute respiratory distress syndrome

T Yoshida, MBP Amato, BP Kavanagh… - Current opinion in …, 2019 - journals.lww.com
We update and summarize the role of spontaneous breathing during mechanical ventilation
in ARDS, which can be beneficial or deleterious, depending on the strength of spontaneous …

Precision medicine and heterogeneity of treatment effect in therapies for ARDS

YA Khan, E Fan, ND Ferguson - Chest, 2021 - Elsevier
ARDS is a clinically heterogeneous syndrome, rather than a distinct disease. This
heterogeneity at least partially explains the difficulty in studying treatments for these patients …