Personalized mechanical ventilation in acute respiratory distress syndrome.

Humans Precision Medicine / methods Respiration, Artificial / methods Respiratory Distress Syndrome / diagnostic imaging Respiratory Mechanics / physiology
Biomarkers Chest computed tomography scan Driving pressure Phenotype Tidal volume Transpulmonary pressure

Journal

Critical care (London, England)
ISSN: 1466-609X
Titre abrégé: Crit Care
Pays: England
ID NLM: 9801902

Informations de publication

Date de publication:
16 07 2021
Historique:
received: 02 07 2021
accepted: 08 07 2021
entrez: 17 7 2021
pubmed: 18 7 2021
medline: 21 10 2021
Statut: epublish

Résumé

A personalized mechanical ventilation approach for patients with adult respiratory distress syndrome (ARDS) based on lung physiology and morphology, ARDS etiology, lung imaging, and biological phenotypes may improve ventilation practice and outcome. However, additional research is warranted before personalized mechanical ventilation strategies can be applied at the bedside. Ventilatory parameters should be titrated based on close monitoring of targeted physiologic variables and individualized goals. Although low tidal volume (V

Identifiants

DOI: 10.1186/s13054-021-03686-3 PMID: 34271958 PMC: PMC8284184
pubmed: 34271958
doi: 10.1186/s13054-021-03686-3
pii: 10.1186/s13054-021-03686-3
pmc: PMC8284184
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

250

Informations de copyright

© 2021. The Author(s).

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Auteurs

Paolo Pelosi (P)

Anesthesia and Intensive Care, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, Genoa, Italy. ppelosi@hotmail.com.
Department of Surgical Sciences and Integrated Diagnostic (DISC), University of Genoa, Viale Benedetto XV 16, Genoa, Italy. ppelosi@hotmail.com.

Lorenzo Ball (L)

Anesthesia and Intensive Care, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, Genoa, Italy.
Department of Surgical Sciences and Integrated Diagnostic (DISC), University of Genoa, Viale Benedetto XV 16, Genoa, Italy.

Carmen S V Barbas (CSV)

Pneumology and Intensive Care Medicine, University of São Paulo, São Paulo, Brazil.
Adult Intensive Care Unit, Albert Einstein Hospital, São Paulo, Brazil.

Rinaldo Bellomo (R)

Department of Intensive Care, Austin Hospital, Melbourne, VIC, Australia.
Department of Epidemiology and Preventive Medicine, Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, VIC, Australia.
Data Analytics Research and Evaluation Centre, The University of Melbourne and Austin Hospital, Melbourne, Australia.
Department of Intensive Care, Royal Melbourne Hospital, Melbourne, VIC, Australia.
Department of Critical Care, The University of Melbourne, Melbourne, Australia.

Karen E A Burns (KEA)

Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada.
Unity Health Toronto-St. Michael's Hospital, Li Ka Shing Knowledge Institute, Toronto, ON, Canada.

Sharon Einav (S)

Intensive Care Unit of the Shaare Zedek Medical Medical Centre, Hebrew University Faculty of Medicine, Jerusalem, Israel.

Luciano Gattinoni (L)

Department of Anaesthesiology, Emergency, and Intensive Care Medicine, University of Göttingen, Göttingen, Germany.

John G Laffey (JG)

Anaesthesia and Intensive Care Medicine, University Hospital Galway, and School of Medicine, National University of Ireland, Galway, Ireland.

John J Marini (JJ)

University of Minnesota and Regions Hospital, St. Paul, MN, USA.

Sheila N Myatra (SN)

Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India.

Marcus J Schultz (MJ)

Mahidol Oxford Tropical Medicine Research Unit (MORU), Mahidol University, Bangkok, Thailand.
Department of Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Nuffield Department of Medicine, University of Oxford, Oxford, UK.

Jean Louis Teboul (JL)

Service de Médecine Intensive-Réanimation, Hôpital Bicêtre, Inserm UMR S_999, AP-HP Université Paris-Saclay, Le Kremlin-Bicêtre, France.

Patricia R M Rocco (PRM)

Laboratory of Pulmonary Investigation, Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Personalized mechanical ventilation in acute...
questionsmedicales.fr › Professions de santé › Médecine › Médecine clinique › Médecine de précision › Personalized mechanical ventilation in acute...
questionsmedicales.fr › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › Personalized mechanical ventilation in acute...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Troubles respiratoires › Syndrome de détresse respiratoire de l'adulte › Personalized mechanical ventilation in acute...
questionsmedicales.fr › Phénomènes physiologiques respiratoires et circulatoires › Phénomènes physiologiques respiratoires › Respiration › Mécanique respiratoire › Personalized mechanical ventilation in acute...