Focused Management of Patients With Severe Acute Brain Injury and ARDS.

Brain Injuries / complications COVID-19 Disease Management Humans Respiratory Distress Syndrome / etiology SARS-CoV-2
ARDS acute brain injury intensive care intracranial hypertension

Journal

Chest
ISSN: 1931-3543
Titre abrégé: Chest
Pays: United States
ID NLM: 0231335

Informations de publication

Date de publication:
01 2022
Historique:
received: 12 02 2021
revised: 04 08 2021
accepted: 25 08 2021
pubmed: 11 9 2021
medline: 21 1 2022
entrez: 10 9 2021
Statut: ppublish

Résumé

Considering the COVID-19 pandemic where concomitant occurrence of ARDS and severe acute brain injury (sABI) has increasingly coemerged, we synthesize existing data regarding the simultaneous management of both conditions. Our aim is to provide readers with fundamental principles and concepts for the management of sABI and ARDS, and highlight challenges and conflicts encountered while managing concurrent disease. Up to 40% of patients with sABI can develop ARDS. Although there are trials and guidelines to support the mainstays of treatment for ARDS and sABI independently, guidance on concomitant management is limited. Treatment strategies aimed at managing severe ARDS may at times conflict with the management of sABI. In this narrative review, we discuss the physiological basis and risks involved during simultaneous management of ARDS and sABI, summarize evidence for treatment decisions, and demonstrate these principles using hypothetical case scenarios. Use of invasive or noninvasive monitoring to assess brain and lung physiology may facilitate goal-directed treatment strategies with the potential to improve outcome. Understanding the pathophysiology and key treatment concepts for comanagement of these conditions is critical to optimizing care in this high-acuity patient population.

Identifiants

DOI: 10.1016/j.chest.2021.08.066 PMID: 34506794 PMC: PMC8423666
pubmed: 34506794
pii: S0012-3692(21)03838-1
doi: 10.1016/j.chest.2021.08.066
pmc: PMC8423666
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

140-151

Subventions

Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR002733
Pays : United States

Informations de copyright

Copyright © 2021 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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Auteurs

Jennifer A Kim (JA)

Department of Neurology, Yale University, New Haven, CT. Electronic address: Jennifer.a.kim@yale.edu.

Sarah Wahlster (S)

Departments of Neurology and Neurological Surgery, University of Washington, Seattle, WA.

Jamie Nicole LaBuzetta (JN)

Department of Neurosciences, Division of Neurocritical Care, University of California-San Diego, San Diego, CA.

Christa O'Hana S Nobleza (COS)

Department of Neurology, Baptist Memorial Health Center, Memphis, TN.

Nicholas J Johnson (NJ)

Department of Emergency Medicine and Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington, Seattle, WA.

Clio Rubinos (C)

Department of Neurology, Division of Epilepsy and Neurocritical Care, University of North Carolina School of Medicine, Chapel Hill, NC.

Deepa Malaiyandi (D)

Department of Neurology, Division of Neurocritical Care, University of Toledo College of Medicine, Toledo, OH.

Kristine H O'Phelan (KH)

Department of Neurology, University of Miami, Miami, FL.

Shraddha Mainali (S)

Department of Neurology, Virginia Commonwealth University, Richmond, VA.

Aarti Sarwal (A)

Department of Neurology, Wake Forest University, Winston Salem, NC.

Emily J Gilmore (EJ)

Department of Neurology, Yale University, New Haven, CT.

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Classifications MeSH

questionsmedicales.fr › Plaies et blessures › Traumatismes du système nerveux › Traumatismes cranioencéphaliques › Lésions encéphaliques › Focused Management of Patients With Severe...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › Focused Management of Patients With Severe...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Prise en charge de la maladie › Focused Management of Patients With Severe...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Focused Management of Patients With Severe...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Troubles respiratoires › Syndrome de détresse respiratoire de l'adulte › Focused Management of Patients With Severe...
questionsmedicales.fr › Virus › Virus à ARN › Virus à ARN à brin positif › Nidovirales › Coronaviridae › Coronavirus › Betacoronavirus › Virus du SRAS › SARS-CoV-2 › Focused Management of Patients With Severe...