Update: adjuncts to mechanical ventilation.
Identifieur interne : 000274 ( Main/Exploration ); précédent : 000273; suivant : 000275Update: adjuncts to mechanical ventilation.
Auteurs : Gustavo A. Cortes [États-Unis] ; John J. MariniSource :
- Current opinion in anaesthesiology [ 1473-6500 ] ; 2012.
Descripteurs français
- KwdFr :
- Curarisants (usage thérapeutique), Décubitus ventral (MeSH), Humains (MeSH), Hypercapnie (physiopathologie), Lésion pulmonaire aigüe (thérapie), Monoxyde d'azote (administration et posologie), Oxygénation extracorporelle sur oxygénateur à membrane (MeSH), Syndrome de détresse respiratoire de l'adulte (thérapie), Ventilation artificielle (mortalité), Ventilation artificielle (méthodes), Ventilation à haute fréquence (MeSH), Échanges gazeux pulmonaires (MeSH).
- MESH :
- administration et posologie : Monoxyde d'azote.
- mortalité : Ventilation artificielle.
- méthodes : Ventilation artificielle.
- physiopathologie : Hypercapnie.
- thérapie : Lésion pulmonaire aigüe, Syndrome de détresse respiratoire de l'adulte.
- usage thérapeutique : Curarisants.
- Décubitus ventral, Humains, Oxygénation extracorporelle sur oxygénateur à membrane, Ventilation à haute fréquence, Échanges gazeux pulmonaires.
English descriptors
- KwdEn :
- Acute Lung Injury (therapy), Extracorporeal Membrane Oxygenation (MeSH), High-Frequency Ventilation (MeSH), Humans (MeSH), Hypercapnia (physiopathology), Neuromuscular Blocking Agents (therapeutic use), Nitric Oxide (administration & dosage), Prone Position (MeSH), Pulmonary Gas Exchange (MeSH), Respiration, Artificial (methods), Respiration, Artificial (mortality), Respiratory Distress Syndrome, Adult (therapy).
- MESH :
- chemical , administration & dosage : Nitric Oxide.
- chemical , therapeutic use : Neuromuscular Blocking Agents.
- methods : Respiration, Artificial.
- mortality : Respiration, Artificial.
- physiopathology : Hypercapnia.
- therapy : Acute Lung Injury, Respiratory Distress Syndrome, Adult.
- Extracorporeal Membrane Oxygenation, High-Frequency Ventilation, Humans, Prone Position, Pulmonary Gas Exchange.
Abstract
PURPOSE OF REVIEW
To describe the most recent advances and clinical applications of adjunctive techniques in mechanical ventilation, focusing on their overall impact on mortality and their potential indications in critically ill patients.
RECENT FINDINGS
The modern variants of extracorporeal membrane oxygenation are not only rescue alternatives but also therapeutic options for patients with severe but potentially reversible acute respiratory distress syndrome. Prone positioning returns as a desirable therapeutic option for patients with severe acute respiratory distress syndrome. Recent reports suggest that permissive hypercapnia, therapeutic paralysis, sedation, and controlled hypothermia could potentially improve important clinical outcomes. Although more clinical trials are clearly needed to support the use of inhaled prostacyclins in severe respiratory failure, encouraging results have been described in recent publications.
SUMMARY
Giving the complexity and dynamism of acute lung injury, timing, severity, and pathophysiologic pertinence are mandatory components of decision-making when considering the application of adjunctive measures to support mechanical ventilation.
DOI: 10.1097/ACO.0b013e32834f8c65
PubMed: 22228420
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Cortes</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pulmonary and Critical Care, University of Minnesota, Regions Hospital, St. Paul, Minnesota, USA. Gustavo.A.CortsPuentes@HealthPartners.com</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pulmonary and Critical Care, University of Minnesota, Regions Hospital, St. Paul, Minnesota</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author><author><name sortKey="Marini, John J" sort="Marini, John J" uniqKey="Marini J" first="John J" last="Marini">John J. 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Prone positioning returns as a desirable therapeutic option for patients with severe acute respiratory distress syndrome. Recent reports suggest that permissive hypercapnia, therapeutic paralysis, sedation, and controlled hypothermia could potentially improve important clinical outcomes. Although more clinical trials are clearly needed to support the use of inhaled prostacyclins in severe respiratory failure, encouraging results have been described in recent publications.</p></div><div type="abstract" xml:lang="en"><p><b>SUMMARY</b></p><p>Giving the complexity and dynamism of acute lung injury, timing, severity, and pathophysiologic pertinence are mandatory components of decision-making when considering the application of adjunctive measures to support mechanical ventilation.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22228420</PMID><DateCompleted><Year>2012</Year><Month>07</Month><Day>23</Day></DateCompleted><DateRevised><Year>2013</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1473-6500</ISSN><JournalIssue CitedMedium="Internet"><Volume>25</Volume><Issue>2</Issue><PubDate><Year>2012</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Current opinion in anaesthesiology</Title></Journal><ArticleTitle>Update: adjuncts to mechanical ventilation.</ArticleTitle><Pagination><MedlinePgn>156-63</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/ACO.0b013e32834f8c65</ELocationID><Abstract><AbstractText Label="PURPOSE OF REVIEW" NlmCategory="OBJECTIVE">To describe the most recent advances and clinical applications of adjunctive techniques in mechanical ventilation, focusing on their overall impact on mortality and their potential indications in critically ill patients.</AbstractText><AbstractText Label="RECENT FINDINGS" NlmCategory="RESULTS">The modern variants of extracorporeal membrane oxygenation are not only rescue alternatives but also therapeutic options for patients with severe but potentially reversible acute respiratory distress syndrome. Prone positioning returns as a desirable therapeutic option for patients with severe acute respiratory distress syndrome. Recent reports suggest that permissive hypercapnia, therapeutic paralysis, sedation, and controlled hypothermia could potentially improve important clinical outcomes. Although more clinical trials are clearly needed to support the use of inhaled prostacyclins in severe respiratory failure, encouraging results have been described in recent publications.</AbstractText><AbstractText Label="SUMMARY" NlmCategory="CONCLUSIONS">Giving the complexity and dynamism of acute lung injury, timing, severity, and pathophysiologic pertinence are mandatory components of decision-making when considering the application of adjunctive measures to support mechanical ventilation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cortes</LastName><ForeName>Gustavo A</ForeName><Initials>GA</Initials><AffiliationInfo><Affiliation>Department of Pulmonary and Critical Care, University of Minnesota, Regions Hospital, St. Paul, Minnesota, USA. 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