Respiratory support in patients with acute respiratory distress syndrome: an expert opinion

被引：0
作者：
Davide Chiumello
Laurent Brochard
John J. Marini
Arthur S. Slutsky
Jordi Mancebo
V. Marco Ranieri
B. Taylor Thompson
Laurent Papazian
Marcus J. Schultz
Marcelo Amato
Luciano Gattinoni
Alain Mercat
Antonio Pesenti
Daniel Talmor
Jean-Louis Vincent
机构：
[1] Università degli Studi di Milano,Dipartimento di Scienze della Salute
[2] Keenan Research Centre,Interdepartmental Division of Critical Care Medicine
[3] Li Ka Shing Knowledge Institute,University of Montreal and Department of Intensive Care
[4] St Michael’s Hospital,Department of Anesthesia and Critical Care Medicine
[5] University of Toronto,Division of Pulmonary and Critical Care Medicine
[6] University of Minnesota,Department of Anesthesiology
[7] Centre Hospitalier Université de Montréal,Department of Anesthesia, Critical Care and Emergency
[8] Sapienza University of Rome,Department of Pathophysiology and Transplantation
[9] Policlinico Umberto I Hospital,Department of Anesthesia and Critical Care Medicine
[10] Massachusetts General Hospital,Department of Intensive Care
[11] Réanimation des Détresses Respiratoires et Infections Sévères,undefined
[12] Hôpital Nord—Assistance Publique—Hôpitaux de Marseille Aix-Marseille Université,undefined
[13] Mahidol Oxford Research Unit (MORU),undefined
[14] Faculty of Tropical Medicine,undefined
[15] Mahidol University,undefined
[16] Laboratório de Pneumologia LIM-09,undefined
[17] Disciplina de Pneumologia,undefined
[18] Heart Institute (InCor) Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo,undefined
[19] Emergency and Intensive Care Medicine,undefined
[20] University of Göttingen,undefined
[21] CHU d’Angers,undefined
[22] Réanimation Médicale et Médecine Hyperbare,undefined
[23] Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico,undefined
[24] University of Milan,undefined
[25] Beth Israel Deaconess Medical Center,undefined
[26] Erasme Hospital,undefined
[27] Université libre de Bruxelles,undefined
来源：
Critical Care | / 21卷
关键词：
Ventilator support; Ventilator-induced lung injury; Tidal volume; Positive end-expiratory pressure; Esophageal pressure; Extracorporeal membrane oxygenation; Weaning;
D O I：
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中图分类号：
学科分类号：
摘要：
Acute respiratory distress syndrome (ARDS) is a common condition in intensive care unit patients and remains a major concern, with mortality rates of around 30–45% and considerable long-term morbidity. Respiratory support in these patients must be optimized to ensure adequate gas exchange while minimizing the risks of ventilator-induced lung injury. The aim of this expert opinion document is to review the available clinical evidence related to ventilator support and adjuvant therapies in order to provide evidence-based and experience-based clinical recommendations for the management of patients with ARDS.
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[1]  
Ashbaugh DG(1967)Acute respiratory distress in adults Lancet 2 319-23
[2]  
Bigelow DB(2012)Acute respiratory distress syndrome: the Berlin Definition JAMA 307 2526-33
[3]  
Petty TL(2016)Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries JAMA 315 788-800
[4]  
Levine BE(2016)What's next after ARDS: long-term outcomes Respir Care 61 689-99
[5]  
Ranieri VM(2013)Ventilator-induced lung injury N Engl J Med 369 2126-36
[6]  
Rubenfeld GD(2000)Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome N Engl J Med 342 1301-8
[7]  
Thompson BT(2010)Higher vs lower positive end-expiratory pressure in patients with acute lung injury and acute respiratory distress syndrome: systematic review and meta-analysis JAMA 303 865-73
[8]  
Ferguson ND(2013)Prone positioning in severe acute respiratory distress syndrome N Engl J Med 368 2159-68
[9]  
Caldwell E(2010)Neuromuscular blockers in early acute respiratory distress syndrome N Engl J Med 363 1170-16
[10]  
Fan E(2009)Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial Lancet 374 1351-63
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