Articles: respiratory-distress-syndrome.
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This review will attempt to put together the voluminous studies and concepts that have been published during the past 25 years following the description of the acute respiratory distress syndrome (ARDS) regarding diagnosis and management. The initial discussion will focus on how to clinically diagnose ARDS based recommendations. ⋯ The radiographic and hemodynamic characteristics are discussed including oxygenation parameters. The management outlines the conventional as well as new therapies intended to improve survival of this devastating disease.
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Intensive care medicine · Mar 1996
Clinical TrialEffects of rapid permissive hypercapnia on hemodynamics, gas exchange, and oxygen transport and consumption during mechanical ventilation for the acute respiratory distress syndrome.
To measure the effects of rapid permissive hypercapnia on hemodynamics and gas exchange in patients with acute respiratory distress syndrome (ARDS). ⋯ These data indicate that acute hypercapnia increases DO2 and O2 off-loading capacity in ARDS patients with normal plasma lactate, without increasing O2 extraction. Whether this would be beneficial in patients with elevated lactate levels, indicating tissue hypoxia, remains to be determined. Furthermore, even though hypercapnia was well tolerated, the increase in Qva/Qt, CI, and MPAP should prompt caution in patients with severe hypoxemia, as well as in those with depressed cardiac function and/or severe pulmonary hypertension.
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Journal of critical care · Mar 1996
Partial liquid ventilation provides effective gas exchange in a large animal model.
The purpose of this study was to show the ability of partial liquid ventilation (PLV) to sustain gas exchange in normal large (50 to 70 kg) adult animals. ⋯ These data show that during PLV in this normal animal model, effective gas exchange is sustained and CT decreases with increasing perflubron dose.
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Intensive care medicine · Mar 1996
Editorial Comment ReviewPermissive hypercapnia in ARDS: just do it?
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J Vasc Interv Radiol · Mar 1996
Loculated pneumothoraces in patients with acute respiratory disease treated with mechanical ventilation: preliminary observations after image-guided drainage.
To report the clinical impact of image-guided percutaneous drainage of loculated pneumothoraces in patients with acute respiratory disease treated with mechanical ventilation. ⋯ Image-guided catheter placement may play a role in the acute management of loculated pneumothorax and adult respiratory distress syndrome. This type of therapy may reverse the deterioration of gas exchange and reduce the risk of further pulmonary compromise.