التفاصيل البيبلوغرافية
| العنوان: |
Recruitability of the lung estimated by the pressure volume curve hysteresis in ARDS patients. |
| المؤلفون: |
Demory, Didier, Arnal, Jean-Michel, Wysocki, Marc, Donati, Stéphane, Granier, Isabelle, Corno, Gaëlle, Durand-Gasselin, Jacques |
| المصدر: |
Intensive Care Medicine; Nov2008, Vol. 34 Issue 11, p2019-2025, 7p, 1 Chart, 3 Graphs |
| مصطلحات موضوعية: |
ADULT respiratory distress syndrome, RESPIRATORY insufficiency, CRITICALLY ill, INTENSIVE care units, LUNG diseases |
| مستخلص: |
To assess the hysteresis of the pressure–volume curve (PV curve) as to estimate, easily and at the bedside, the recruitability of the lung in ARDS patients. Prospective study. Twelve medico-surgical ICU beds of a general hospital. Twenty-six patients within the first 24 h from meeting ARDS criteria. A Quasi-static inflation and deflation PV curve from 0 to 40 cmH2O and a 40 cmH2O recruitment maneuver (RM) maintained for 10 s were successively done with an interval of 30 min in between. Hysteresis of the PV curve ( H PV) was calculated as the ratio of the area enclosed by the pressure volume loop divided by the predicted body weight (PBW). The volume increase during the RM ( V RM) was measured by integration of the flow required to maintain the pressure at 40 cmH2O and divided by PBW, as an estimation of the volume recruited during the RM. A positive linear correlation was found between H PV and V RM ( r = 0.81, P < 0.0001). The results suggest using the hysteresis of the PV curve to assess the recruitability of the lung. [ABSTRACT FROM AUTHOR] |
|
Copyright of Intensive Care Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
