• Curr Opin Crit Care · Jun 2021

    Review

    Driving pressure monitoring during acute respiratory failure in 2020.

    • Lu Chen, Annemijn Jonkman, Sérgio M Pereira, Cong Lu, and Laurent Brochard.
    • Keenan Research Centre for Biomedical Science, Li Ka Shing Knowledge Institute, and Department of Critical Care Medicine, St. Michael's Hospital.
    • Curr Opin Crit Care. 2021 Jun 1; 27 (3): 303-310.

    Purpose Of ReviewAssess the most recent studies using driving pressure (DP) as a monitoring technique under mechanical ventilation and describe the technical challenges associated with its measurement.Recent FindingsDP is consistently associated with survival in acute respiratory failure and acute respiratory distress syndrome (ARDS) and can detect patients at higher risk of ventilator-induced lung injury. Its measurement can be challenged by leaks and ventilator dyssynchrony, but is also feasible under pressure support ventilation. Interestingly, an aggregated summary of published results suggests that its level is on average slightly lower in patients with coronavirus disease-19 induced ARDS than in classical ARDS.SummaryThe DP is easy to obtain and should be incorporated as a minimal monitoring technique under mechanical ventilation.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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