Acute respiratory distress syndrome: Pulmonary and extrapulmonary not so similar

被引：11
|
作者：
Sehgal, Inderpaul Singh [1 ]
Dhooria, Sahajal [1 ]
Behera, Digambar [1 ]
Agarwal, Ritesh [1 ]
机构：
[1] Postgrad Inst Med Educ & Res, Dept Pulm Med, Chandigarh 160012, India
来源：
INDIAN JOURNAL OF CRITICAL CARE MEDICINE | 2016年 / 20卷 / 03期
关键词：
Acute lung injury; acute respiratory distress syndrome; esophageal pressure; lung compliance; transpulmonary pressure;
D O I：
10.4103/0972-5229.178188
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Acute respiratory distress syndrome (ARDS) is characterized by acute onset respiratory failure with bilateral pulmonary infiltrates and hypoxemia. Current evidence suggests different respiratory mechanics in pulmonary ARDS (ARDSp) and extrapulmonary ARDS (ARDSexp) with disproportionate decrease in lung compliance in the former and chest wall compliance in the latter. Herein, we report two patients of ARDS, one each with ARDSp and ARDSexp that were managed using real-time esophageal pressure monitoring using the AVEA ventilator to tailor the ventilatory strategy.
引用
收藏
页码：66 / 69
页数：4
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