Matches in SemOpenAlex for { <https://semopenalex.org/work/W2564010996> ?p ?o ?g. }
Showing items 1 to 74 of
74
with 100 items per page.
- W2564010996 abstract "Summary Acute Respiratory Distress Syndrome (ARDS) is characterized by refractary hypoxemia due to a variable grade of alveolar collapse because of the gravitational gradient (sponge lung) and/or the alveolar occupation (alveolar floody). Current challenge is minimizing ventilator-induced lung injury (VILI) while providing a reasonable gas exchange. Gas exchange and hemodynamics impact of mechanical ventilation (MV) depend on proportion of collapsed lung versus occupied alveoli which coexist in the same alveolar environment. When alveolar floody dominates, the lung has minimal recruitability and hemodynamic impact of insufflation is usually significant. When alveolar collapse is the most important phenomena we will have best recruitability and the hemodynamic impact of MV will be less. Some authors have shown good results with the use of maximum lung recruitment maneuvers to recruit lungs, even when alveolar occupation is predominant. However, it is a mistake to consider all injured lung tissue as potentially recruitable. High level of PEEP and recruitment maneuvers despite substantially improve oxygenation have shown no reduction in mortality. Reduce lung stress and strain using an appropriate ventilatory setting is achieved with very low tidal volumes (4 ml/kg PBW) and moderate/high level of PEEP, according to best respiratory system compliance. Currently, a study concluded that the driving pressure should be less than 16 cmH2O, because higher levels increase risk of death. These characteristics enforce to use an individual ventilatory approach. Recently, it has been reported that VILI develops proportionally to external energy applied by the ventilator to the respiratory system; this concept is named mechanical power (MP). It considers the different variables related with the ventilator settings as cause of VILI: tidal volume (VT), driving pressure, respiratory rate, inspiratory flow, resistance and PEEP (equation of motion). Furthermore, we have extrapulmonary variables such as: perfusion, pH, gas tension and temperaturewhich can also influence." @default.
- W2564010996 created "2017-01-06" @default.
- W2564010996 creator A5043088347 @default.
- W2564010996 date "2016-01-01" @default.
- W2564010996 modified "2023-10-17" @default.
- W2564010996 title "Acute Respiratory Distress Syndrome: a point of view" @default.
- W2564010996 doi "https://doi.org/10.18103/mra.v4i8.893" @default.
- W2564010996 hasPublicationYear "2016" @default.
- W2564010996 type Work @default.
- W2564010996 sameAs 2564010996 @default.
- W2564010996 citedByCount "0" @default.
- W2564010996 crossrefType "journal-article" @default.
- W2564010996 hasAuthorship W2564010996A5043088347 @default.
- W2564010996 hasConcept C126322002 @default.
- W2564010996 hasConcept C127413603 @default.
- W2564010996 hasConcept C136936797 @default.
- W2564010996 hasConcept C141983124 @default.
- W2564010996 hasConcept C163498912 @default.
- W2564010996 hasConcept C177713679 @default.
- W2564010996 hasConcept C178853913 @default.
- W2564010996 hasConcept C200457457 @default.
- W2564010996 hasConcept C2776348555 @default.
- W2564010996 hasConcept C2776779939 @default.
- W2564010996 hasConcept C2777080012 @default.
- W2564010996 hasConcept C2777714996 @default.
- W2564010996 hasConcept C42219234 @default.
- W2564010996 hasConcept C534529494 @default.
- W2564010996 hasConcept C70289976 @default.
- W2564010996 hasConcept C71924100 @default.
- W2564010996 hasConcept C78519656 @default.
- W2564010996 hasConceptScore W2564010996C126322002 @default.
- W2564010996 hasConceptScore W2564010996C127413603 @default.
- W2564010996 hasConceptScore W2564010996C136936797 @default.
- W2564010996 hasConceptScore W2564010996C141983124 @default.
- W2564010996 hasConceptScore W2564010996C163498912 @default.
- W2564010996 hasConceptScore W2564010996C177713679 @default.
- W2564010996 hasConceptScore W2564010996C178853913 @default.
- W2564010996 hasConceptScore W2564010996C200457457 @default.
- W2564010996 hasConceptScore W2564010996C2776348555 @default.
- W2564010996 hasConceptScore W2564010996C2776779939 @default.
- W2564010996 hasConceptScore W2564010996C2777080012 @default.
- W2564010996 hasConceptScore W2564010996C2777714996 @default.
- W2564010996 hasConceptScore W2564010996C42219234 @default.
- W2564010996 hasConceptScore W2564010996C534529494 @default.
- W2564010996 hasConceptScore W2564010996C70289976 @default.
- W2564010996 hasConceptScore W2564010996C71924100 @default.
- W2564010996 hasConceptScore W2564010996C78519656 @default.
- W2564010996 hasLocation W25640109961 @default.
- W2564010996 hasOpenAccess W2564010996 @default.
- W2564010996 hasPrimaryLocation W25640109961 @default.
- W2564010996 hasRelatedWork W131213102 @default.
- W2564010996 hasRelatedWork W1525819492 @default.
- W2564010996 hasRelatedWork W156150622 @default.
- W2564010996 hasRelatedWork W1829891712 @default.
- W2564010996 hasRelatedWork W2149587431 @default.
- W2564010996 hasRelatedWork W2150358045 @default.
- W2564010996 hasRelatedWork W2157095797 @default.
- W2564010996 hasRelatedWork W2183236115 @default.
- W2564010996 hasRelatedWork W2266356483 @default.
- W2564010996 hasRelatedWork W2325867840 @default.
- W2564010996 hasRelatedWork W2465235878 @default.
- W2564010996 hasRelatedWork W2608956375 @default.
- W2564010996 hasRelatedWork W2748233440 @default.
- W2564010996 hasRelatedWork W275483724 @default.
- W2564010996 hasRelatedWork W2770954492 @default.
- W2564010996 hasRelatedWork W2777733706 @default.
- W2564010996 hasRelatedWork W2798472265 @default.
- W2564010996 hasRelatedWork W36273152 @default.
- W2564010996 hasRelatedWork W577121599 @default.
- W2564010996 hasRelatedWork W628599983 @default.
- W2564010996 isParatext "false" @default.
- W2564010996 isRetracted "false" @default.
- W2564010996 magId "2564010996" @default.
- W2564010996 workType "article" @default.