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Curr Opin Crit Care · Feb 2002
ReviewReinterpreting the pressure-volume curve in patients with acute respiratory distress syndrome.
- Keith G Hickling.
- Department of Intensive Care, Gold Coast Hospital, Southport, Queensland, Australia. Keith_Hickling@health.qld.gov.au
- Curr Opin Crit Care. 2002 Feb 1; 8 (1): 32-8.
AbstractNew evidence requires a reinterpretation of the inflation pressure-volume curve and suggests that neither the lower nor the upper inflection point provides reliable information to determine safe ventilator settings in the acute respiratory distress syndrome. Recruitment probably continues throughout the inflation pressure-volume curve, and studies of the deflation pressure-volume curve, reinflations after partial deflation, or decremental positive end-expiratory pressure trials after a recruitment maneuver are probably needed to determine open-lung positive end-expiratory pressure.
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