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- Title
Managing the cerebral complications of acute respiratory distress syndrome.
- Authors
Robba, Chiara; Cho, Sung-Min; Sekhon, Mypinder S.
- Abstract
This article discusses the management of cerebral complications in patients with acute respiratory distress syndrome (ARDS). ARDS is a common condition in critical care, and improvements in ventilatory strategies have led to better outcomes. However, there is growing recognition of the neurological sequelae in ARDS survivors, including ischemic stroke, brain injury, seizures, and cognitive dysfunction. The article highlights the challenges in managing ARDS-associated cerebral complications, as lung protective ventilation strategies may have negative effects on cerebral physiology. The authors suggest a proactive approach that involves early assessment of individual patient cerebral physiology using neuroimaging and non-invasive bedside monitoring. This can help clinicians tailor interventions to improve pulmonary function while minimizing the risk of cerebral complications. The article also discusses the use of point-of-care diagnostic tools to inform decision-making based on intracranial pressure and cerebral blood flow. Overall, the goal is to prevent additional neurological injury and improve outcomes for ARDS survivors.
- Subjects
ADULT respiratory distress syndrome; ARTIFICIAL respiration; POSITIVE end-expiratory pressure; INTRA-abdominal hypertension; MEDICAL personnel
- Publication
Intensive Care Medicine, 2024, Vol 50, Issue 7, p1149
- ISSN
0342-4642
- Publication type
Editorial
- DOI
10.1007/s00134-024-07434-3