Is there a safe plateau pressure in ARDS? The right heart only knows
| Autor: | François Jardin, Antoine Vieillard-Baron |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Resuscitation
medicine.medical_specialty ARDS Partial Pressure Critical Care and Intensive Care Medicine Plateau pressure Pulmonary Heart Disease Intensive care Internal medicine Odds Ratio Tidal Volume Humans Medicine Prospective Studies Tidal volume Respiratory Distress Syndrome Respiratory distress business.industry Incidence Mortality rate respiratory system medicine.disease Respiration Artificial respiratory tract diseases Surgery Echocardiography Ventricular Function Right Cardiology France Airway business |
| Zdroj: | Intensive Care Medicine. 33:444-447 |
| ISSN: | 1432-1238 0342-4642 |
| Popis: | Airway pressure limitation is now a largely accepted strategy in adult respiratory distress syndrome (ARDS) patients; however, some debate persists about the exact level of plateau pressure which can be safely used. The objective of the present study was to examine if the echocardiographic evaluation of right ventricular function performed in ARDS may help to answer to this question. For more than 20 years, we have regularly monitored right ventricular function by echocardiography in ARDS patients, during two different periods, a first (1980–1992) where airway pressure was not limited, and a second (1993–2006) where airway pressure was limited. By pooling our data, we can observe the effect of a large range of plateau pressure upon mortality rate and incidence of acute cor pulmonale. In this whole group of 352 ARDS patients, mortality rate and incidence of cor pulmonale were 80 and 56%, respectively, when plateau pressure was > 35 cmH2O; 42 and 32%, respectively, when plateau pressure was between 27 and 35 cmH2O; and 30 and 13%, respectively, when plateau pressure was |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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