Evolving concepts in the ventilatory management of acute respiratory distress syndrome.
Identifieur interne : 000651 ( Main/Exploration ); précédent : 000650; suivant : 000652Evolving concepts in the ventilatory management of acute respiratory distress syndrome.
Auteurs : J J Marini [États-Unis]Source :
- Clinics in chest medicine [ 0272-5231 ] ; 1996.
Descripteurs français
- KwdFr :
- Décubitus ventral (MeSH), Humains (MeSH), Hypercapnie (physiopathologie), Mécanique respiratoire (MeSH), Poumon (anatomopathologie), Syndrome de détresse respiratoire de l'adulte (anatomopathologie), Syndrome de détresse respiratoire de l'adulte (physiopathologie), Syndrome de détresse respiratoire de l'adulte (thérapie), Ventilation artificielle (méthodes), Ventilation artificielle (tendances), Ventilation à pression positive (MeSH), Échanges gazeux pulmonaires (MeSH).
- MESH :
- anatomopathologie : Poumon, Syndrome de détresse respiratoire de l'adulte.
- méthodes : Ventilation artificielle.
- physiopathologie : Hypercapnie, Syndrome de détresse respiratoire de l'adulte.
- tendances : Ventilation artificielle.
- thérapie : Syndrome de détresse respiratoire de l'adulte.
- Décubitus ventral, Humains, Mécanique respiratoire, Ventilation à pression positive, Échanges gazeux pulmonaires.
English descriptors
- KwdEn :
- Humans (MeSH), Hypercapnia (physiopathology), Lung (pathology), Positive-Pressure Respiration (MeSH), Prone Position (MeSH), Pulmonary Gas Exchange (MeSH), Respiration, Artificial (methods), Respiration, Artificial (trends), Respiratory Distress Syndrome, Adult (pathology), Respiratory Distress Syndrome, Adult (physiopathology), Respiratory Distress Syndrome, Adult (therapy), Respiratory Mechanics (MeSH).
- MESH :
- methods : Respiration, Artificial.
- pathology : Lung, Respiratory Distress Syndrome, Adult.
- physiopathology : Hypercapnia, Respiratory Distress Syndrome, Adult.
- therapy : Respiratory Distress Syndrome, Adult.
- trends : Respiration, Artificial.
- Humans, Positive-Pressure Respiration, Prone Position, Pulmonary Gas Exchange, Respiratory Mechanics.
Abstract
With few modifications, a high tidal volume, normoxic, normocapnic ventilation paradigm developed as the standard approach to supporting most critically ill patients. Large tidal volumes, high end-tidal (plateau) alveolar pressures, and low levels of positive end-expiratory pressure are still common in many ICUs during ventilation of acute respiratory distress syndrome (ARDS). A body of scientific literature now suggests that this traditional approach may retard healing of the injured lung. A relatively small but growing number of practitioners are shifting their first priority from optimizing oxygen exchange, oxygen delivery, or respiratory system compliance to ensuring adequate lung protection. This article reviews the basis for concern about traditional ventilatory support in ARDS and develops an approach based on current evidence and newer options for management.
DOI: 10.1016/s0272-5231(05)70331-2
PubMed: 8875011
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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(MeSH)</term><term>Poumon (anatomopathologie)</term><term>Syndrome de détresse respiratoire de l'adulte (anatomopathologie)</term><term>Syndrome de détresse respiratoire de l'adulte (physiopathologie)</term><term>Syndrome de détresse respiratoire de l'adulte (thérapie)</term><term>Ventilation artificielle (méthodes)</term><term>Ventilation artificielle (tendances)</term><term>Ventilation à pression positive (MeSH)</term><term>Échanges gazeux pulmonaires (MeSH)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Poumon</term><term>Syndrome de détresse respiratoire de l'adulte</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Respiration, Artificial</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Ventilation artificielle</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lung</term><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Hypercapnie</term><term>Syndrome de détresse respiratoire de l'adulte</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Hypercapnia</term><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Ventilation artificielle</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Syndrome de détresse respiratoire de l'adulte</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Respiration, Artificial</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Positive-Pressure Respiration</term><term>Prone Position</term><term>Pulmonary Gas Exchange</term><term>Respiratory Mechanics</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Décubitus ventral</term><term>Humains</term><term>Mécanique respiratoire</term><term>Ventilation à pression positive</term><term>Échanges gazeux pulmonaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">With few modifications, a high tidal volume, normoxic, normocapnic ventilation paradigm developed as the standard approach to supporting most critically ill patients. Large tidal volumes, high end-tidal (plateau) alveolar pressures, and low levels of positive end-expiratory pressure are still common in many ICUs during ventilation of acute respiratory distress syndrome (ARDS). A body of scientific literature now suggests that this traditional approach may retard healing of the injured lung. A relatively small but growing number of practitioners are shifting their first priority from optimizing oxygen exchange, oxygen delivery, or respiratory system compliance to ensuring adequate lung protection. This article reviews the basis for concern about traditional ventilatory support in ARDS and develops an approach based on current evidence and newer options for management.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8875011</PMID><DateCompleted><Year>1997</Year><Month>01</Month><Day>15</Day></DateCompleted><DateRevised><Year>2019</Year><Month>11</Month><Day>01</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0272-5231</ISSN><JournalIssue CitedMedium="Print"><Volume>17</Volume><Issue>3</Issue><PubDate><Year>1996</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Clinics in chest medicine</Title></Journal><ArticleTitle>Evolving concepts in the ventilatory management of acute respiratory distress syndrome.</ArticleTitle><Pagination><MedlinePgn>555-75</MedlinePgn></Pagination><Abstract><AbstractText>With few modifications, a high tidal volume, normoxic, normocapnic ventilation paradigm developed as the standard approach to supporting most critically ill patients. Large tidal volumes, high end-tidal (plateau) alveolar pressures, and low levels of positive end-expiratory pressure are still common in many ICUs during ventilation of acute respiratory distress syndrome (ARDS). A body of scientific literature now suggests that this traditional approach may retard healing of the injured lung. A relatively small but growing number of practitioners are shifting their first priority from optimizing oxygen exchange, oxygen delivery, or respiratory system compliance to ensuring adequate lung protection. This article reviews the basis for concern about traditional ventilatory support in ARDS and develops an approach based on current evidence and newer options for management.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Marini</LastName><ForeName>J J</ForeName><Initials>JJ</Initials><AffiliationInfo><Affiliation>Department of Pulmonary and Critical Care Medicine, St. Paul-Ramsey Medical Center, Minnesota, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Clin Chest Med</MedlineTA><NlmUniqueID>7907612</NlmUniqueID><ISSNLinking>0272-5231</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006935" MajorTopicYN="N">Hypercapnia</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008168" MajorTopicYN="N">Lung</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011175" MajorTopicYN="N">Positive-Pressure Respiration</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016684" MajorTopicYN="N">Prone Position</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011659" MajorTopicYN="N">Pulmonary Gas Exchange</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012121" MajorTopicYN="Y">Respiration, Artificial</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012128" MajorTopicYN="N">Respiratory Distress Syndrome, Adult</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015656" MajorTopicYN="N">Respiratory Mechanics</DescriptorName></MeshHeading></MeshHeadingList><NumberOfReferences>116</NumberOfReferences></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1996</Year><Month>9</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1996</Year><Month>9</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1996</Year><Month>9</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">8875011</ArticleId><ArticleId IdType="pii">S0272-5231(05)70331-2</ArticleId><ArticleId IdType="doi">10.1016/s0272-5231(05)70331-2</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Minnesota</li></region></list><tree><country name="États-Unis"><region name="Minnesota"><name sortKey="Marini, J J" sort="Marini, J J" uniqKey="Marini J" first="J J" last="Marini">J J Marini</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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