Microcirculatory alterations are associated with pulmonary dead-space fraction in moderate and severe ards

Autor: Juan David Valencia, Diego F. Bautista-Rincón, Gustavo A. Ospina-Tascón, Alejandro Bruhn, Humberto J. Madriñán, CE Salas, William F. Bermudez, Glenn Hernandez, Daniel De Backer
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Repositorio ICESI
Universidad ICESI
instacron:Universidad ICESI
Intensive Care Medicine Experimental
Popis: Shunt-induced hypoxemia i s considered the primary pathophysiological abnormality and main diagnostic cri- teria of acute respiratory distress syndrome (ARDS). However, increases in dead- space ventilation (VD/VT) can also contribute to gas exchange alterations in ARDS. Systemic microcirculatory alterations described during inflammatory conditions are characterized by perfusion heterogeneity and theoretically pulmonary microcirculatory heterogene ity could lead to imbalance pulmonary ventilation/perfusion relationship. Thus, we hypothesized that systemic microvascular alterations could reflect increased VD/VT in ARDS.
Databáze: OpenAIRE