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Clinics in chest medicine · Dec 2014
ReviewThe use of paralytics in patients with acute respiratory distress syndrome.
- Sami Hraiech, Stéphanie Dizier, and Laurent Papazian.
- Assistance Publique - Hôpitaux de Marseille, Medical Intensive Care Unit APHM, CHU Nord, Marseille 13015, France; Faculté de Médecine, University of Aix-Marseilles, URMITE UMR CNRS 7278, Marseille 13005, France.
- Clin. Chest Med. 2014 Dec 1;35(4):753-63.
AbstractInterest in the role of neuromuscular blocking agents (NMBAs) in the treatment of acute respiratory distress syndrome (ARDS) has been renewed since a recent randomized clinical trial showed a reduction in mortality associated with the use of NMBAs. However, the role of paralytics in a protective mechanical ventilation strategy should be detailed. This review summarizes data in the literature concerning the clinical effects of NMBAs on the outcome of patients with ARDS, in an attempt to explain some pathophysiologic hypotheses concerning their action and to integrate them into the overall management strategy for the mechanical ventilation of ARDS patients.Copyright © 2014 Elsevier Inc. All rights reserved.
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