Trendelenburg Ventilation in Patients of Acute Respiratory Distress Syndrome with Poor Lung Compliance and Diaphragmatic Dysfunction

Autor: Saiteja, Kodamanchili, Saurabh, Saigal, Abhijeet, Anand, Rajesh, Panda, T N, Priyanka, Gowthaman Thatta, Balakrishnan, Krishnkant, Bhardwaj, Pranav, Shrivatsav
Rok vydání: 2022
Předmět:
Zdroj: Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine. 26(3)
ISSN: 0972-5229
Popis: Patients with acute respiratory distress syndrome (ARDS) are generally ventilated in either 45° head elevation or prone position as they are associated with decreased incidence of ventilator-associated pneumonia and mortality, respectively.A case report with possible explanation for the observed changes has been mentioned.Trendelenburg ventilation delivered more TV than propped up or prone ventilation in patients of ARDS with poor lung compliance and diaphragmatic dysfunction.Trendelenburg ventilation increases static lung compliance and delivers more TV when compared to propped up/supine/prone ventilation in patients of ARDS with poor lung compliance and diaphragmatic dysfunction. Although the exact mechanism behind this is not known till now, we formulated few theories that could explain the possible mechanism.Kodamanchili S, Saigal S, Anand A, Panda R, Priyanka TN, Balakrishnan GT
Databáze: OpenAIRE