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- Title
Bedside-available strategies to minimise P-SILI and VILI during ARDS.
- Authors
Roca, Oriol; Telias, Irene; Grieco, Domenico L.
- Abstract
This article discusses the strategies that can be used at the bedside to minimize ventilator-induced lung injury (VILI) and patient-self-induced lung injury (P-SILI) in patients with acute respiratory distress syndrome (ARDS). VILI refers to the harmful effects of mechanical ventilation on the lungs, while P-SILI occurs when patients with ARDS exhibit high inspiratory effort, leading to lung damage. The article suggests personalized treatments based on patient monitoring, such as high-flow nasal oxygen, noninvasive ventilation, and the use of prone position. It also discusses the importance of monitoring tidal volume, driving pressure, and transpulmonary pressure to prevent lung injury. The article emphasizes the need for integrative physiological monitoring to tailor treatments and minimize the risk of lung injury progression.
- Subjects
POSITIVE end-expiratory pressure; ADULT respiratory distress syndrome; ELECTRICAL injuries; ELECTRICAL impedance tomography
- Publication
Intensive Care Medicine, 2024, Vol 50, Issue 4, p597
- ISSN
0342-4642
- Publication type
Article
- DOI
10.1007/s00134-024-07366-y