Positive end expiratory pressure in patients with acute respiratory distress syndrome – The past, present and future

Sundaresan, A.; Chase, J. Geoffrey

doi:10.1016/j.bspc.2011.03.001

Cited by 60 publications

(41 citation statements)

References 136 publications

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“…[22] The PEEP program benefits are well recorded in the previous trials: as it improve gas exchange. [23,24] So far, the use of PEEP has been aggravated IAH in this trial. This occurs as PEEP transfer the pressure-volume curve to the right side, the added pressure subsequently directed to the abdomen.…”

Section: Discussionmentioning

confidence: 99%

“…There was a dramatic effect with increased pressure in the abdomen, Table 3 revealed that All patients at grade 4 (100%) suffered from MV > 20 days, SOFA score > 16, ICU stays > 20 days, and died, supported with statistical significant differences between IAH grades (p ≤ .001) respectively. Figure 3 clarifies that the highest percentage of IAH patients (38% and 32%) were found at grade III (21)(22)(23)(24)(25), and grade II (16)(17)(18)(19)(20) respectively. …”

Section: Outcome Of Elevated Iap During Icu Study Periodmentioning

confidence: 99%

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Deterioration of mechanically ventilated patients in the presence of intra-abdominal hypertension

Mahran¹,

El-Hafez²,

Abbas³

2018

JNEP

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Background and objective: Elevated pressure within the cavity of the abdomen is a serious complication that can threat the life of critically ill patients. Thus, there is an intense need to highlight the outcomes of intra-abdominal hypertension (IAH) that can face critical care nurses. Objective: This work aimed to explore the deterioration of mechanical ventilated patients in the presence of IAH. Methods: Design: A non-randomized prospective study. Procedures: This trial was implemented in trauma and general intensive care in the period between December 2015 and August 2016. The pressure within the abdomen was measured for each patient, three times with 8-hr interval, at the third day of mechanical ventilator (MV). Sepsis-related organ failure assessment score was measured for all patients at first day of admission. All patients who had normal intra-abdominal pressure (IAP) or developed IAH were observed, monitored and evaluated for the clinical outcomes until discharged. Results: Of the 60 MV patients, 83.3% developed IAH. Higher mean of MV and stay period among patients with increased pressure within the abdomen (14.04 ± 10.30 and 16.30 ± 9.36) than normotensive patients (6.90 ± 2.80 and 11.000 ± 3.77) with significant difference (p = .001). Non-survivor had a significantly higher mean IAP than survivor (23.266 ± 2.37 vs. 7.91 ± 3.17) (p value < .001). Conclusions: The occurrence of IAH complicated 83.3% of mechanical ventilated clients in the study period: like longer stay and use of ventilator, and high mortality rate.

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Section: Discussionmentioning

confidence: 99%

Section: Outcome Of Elevated Iap During Icu Study Periodmentioning

confidence: 99%

Deterioration of mechanically ventilated patients in the presence of intra-abdominal hypertension

Mahran¹,

El-Hafez²,

Abbas³

2018

JNEP

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“…Modelling the breath-to-breath respiratory mechanics of acute respiratory distress syndrome (ARDS) patients can potentially provide a non-invasive, patient-specific method to obtain clinically useful information in real-time to guide treatment [1,2]. However, this method of monitoring is limited in clinical application [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Visualisation of Time-Variant Respiratory System Elastance in ARDS Models

Drunen

Chiew

Zhao

et al. 2013

Biomedical Engineering / Biomedizinische Technik

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“…Model-based methods to monitor respiratory mechanics for mechanical ventilation (MV) patients can assist clinicians to guide MV treatment [1][2][3][4]. However, true respiratory mechanics can be masked by spontaneous breathing (SB) efforts and cannot be estimated in these cases without the use of invasive measuring equipment or clinical protocols [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Respiratory mechanics assessment for reverse-triggered breathing cycles using pressure reconstruction

Major

Corbett

Redmond

et al. 2016

Biomedical Signal Processing and Control

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Positive end expiratory pressure in patients with acute respiratory distress syndrome – The past, present and future

Cited by 60 publications

References 136 publications

Deterioration of mechanically ventilated patients in the presence of intra-abdominal hypertension

Deterioration of mechanically ventilated patients in the presence of intra-abdominal hypertension

Visualisation of Time-Variant Respiratory System Elastance in ARDS Models

Respiratory mechanics assessment for reverse-triggered breathing cycles using pressure reconstruction

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