Abstract
Acute respiratory distress syndrome (ARDS) is a severe form of hypoxaemic respiratory failure that is associated with several critical diseases, such as trauma, inhalation injury, shock and pulmonary and extrapulmonary infections. ARDS has been classified into two forms: primary (caused by an insult in the lung) and secondary (caused by an indirect insult, e.g. sepsis or acute pancreatitis, followed by an acute systemic inflammatory response). Lung disease originating from an inflammatory response has several degrees of severity. In the presence of sepsis, these range from a subclinical expression of pulmonary damage to overt respiratory failure. The most feared complication of sepsis is ARDS, a severe form of acute lung injury (ALI).
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References
Bernard GR, Artigas A, Brigham GL et al (1994) The American-European consensus conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med 149:818–824
Thomsen GE, Morris AH (1995) Incidence of the adult respiratory distress syndrome in the state of Utah. Am J Respir Crit Care Med 152:965–971
Marino PL (2007) The ICU Book. Lippincott Williams & Wilkins, Philadelphia
Montgomery AN, Stager MA (1985) Causes of mortality in patients with the adult respiratory distress syndrome. Am Rev Respir Dis 132:485–489
Murray JF, Matthay MA (1988) An expanded definition of the adult respiratory distress syndrome. Am Rev Respir Dis 138:720–723
Sloan PJ, Gee MH (1992) A multicenter registry of patients with acute respiratory distress syndrome: physiology and outcome Am Rev Respir Dis 142:1250–1257
Doyle RL, Szaflarski N (1995) Identification of patients with acute lung injury. Predictors of mortality. Am J Respir Crit Care Med 152:1818–1824
Demling RH (1995) The modern version of the adult respiratory distress syndrome. Annu Rev Med 46:193–202
Matthay MA, Wiener Kronish JP (1990) Intact epithelial barrier function is critical for the resolution of alveolar edema in humans. Am Rev Respir Dis 142:1250–1257
Mc Hugh LG, Milberg JA (1994) Recovery of function in survivors of the acute respiratory distress syndrome. Am J respir Crit Care Med 150:90–94
Davidson TA, Caldwell ES (1999) Reduced quality of life in survivors of acute respiratory distress syndrome compared with critically ill control patients JAMA 281:354–360
Lumb AB (ed) (2005) Nunn’s applied respiratory physiology, 6th edition. Elsevier, Philadelphia
Steinberg KP, Milberg JA (1988) Evolution of bronchoalveolar cell populations in the adult respiratory distress syndrome. Am Rev Respir Dis 138:720–723
Pelosi P, Caironi P, Gattinoni L (2001) Pulmonary and extrapulmonary forms of acute respiratory distress syndrome. Semin Respir Crit Care Med 22(3)259–268
Pelosi P, D’Onofrio D, Chiumello D et al (2003) Pulmonary and extrapulmonary acute respiratory distress syndrome are different. Eur Respir J 22(Suppl 42):48s–56s
Gattinoni L, Pesenti A, Bombino M (1988) Relationships between lung computed tomographic density, gas exchange and PEEP in acute respiratory failure. Anesthesiology 69:824–832
Webb HH, Tierney DF (1974) Experimental pulmonary edema due to intermittent positive pressure ventilation with high inflation pressures: protection by positive and-expiratory pressure. Am Rev Respir Dis 110:556–565
Wright PE, Bernard GR (1989) The role of airflow resistance in patients with the adult respiratory distress syndrome. Am Rev Respir Dis 139:1169–1174
Gattinoni L, Caironi P, Cressoni M et al (2006) Lung recruitment in patients with the acute respiratory distress syndrome. N Eng J Med 354:1775–1786
Falke KJ (ed) (1992) Lung biology in heath and disease. Philadelphia, Saunders
The Acute Respiratory Distress Syndrome Network (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 342:1301–1308
Villar J, Kacmarek RM, Pérez-Méndex Lina et al (2006) A high positive end-expiratory pressure, low tidal volume ventilatory strategy improves outcome in persistent acute respiratory distress syndrome: arandomized controlled trial. Crit Care Med 34(5):1311–1318
Decailliot F, Demoule A, Maggiore SM et al (2006) Pressure-volume curves with and without muscle paralysis in acute respiratory distress syndrome. Intensive Care Med 32:1322–1328
Kallet RH, Branson RD (2007) Do the NIH ARDS Clinical Trials Network PEEP/FiO2 Tables provide the best evidence-based guide to balancing PEEP and FIO2 settings in adults? Respiratory Care 52(4):461–475
Ferguson ND, Frutos-Vivar F, Esteban A et al (2005) Airway pressure, tidal volumes and mortality in patients with acute respiratory distress syndrome Crit Care Med. 33(1):21–30
Alsous F, Amoateng Adjepong Y(1999) Noninvasive ventilation: experience at a community teaching hospital. Intensive Care Med 25:459–463
Patrick W, Webster K (1996) Noninvasive positive-pressure ventilation in acute respiratory distress without prior chronic respiratory failure. Am J Respir Crit Care Med 153:1005–1011
Agarwal R, Reddy C, Aggarwal AN (2006) Is there a role for noninvasive ventilation in acute respiratory distress syndrome? A meta-analysis. Respir Med 100(12):2235–2238
Antonelli M, Conti G, Esquinas A et al (2007) A multiple-center survey on the use in clinical practice of noninvasive ventilation as a first-line intervention for acute respiratory distress syndrome Crit Care Med 35(1):18–25
Prella M, Feihl F, Domenighetti G (2002) Effect of short-term pressure-controlled ventilation on gas exchange, airway pressures and gas distribution in patients with acute lung injury/ARDS. Comparison with volume-controlled ventilation. Chest 122:1382–1388
Branson RD, Catburn RL (2007) Should adaptive pressure control modes be utilized for virtually all patients receiving mechanical ventilation? Respir Care 52(4):478–485
Merker D, Groll JR (2001) Prospective trial of high-frequency oscillation in adults with acute respiratory distress syndrome Crit Care Med 29:1360–1369
Wunsch H, Mapstone J, Takala J (2005) High-frequency ventilation versus conventional ventilation for the treatment of acute lung injury and acute respiratory distress syndrome: a systematic review and Cochrane analysis. Anesth Analg 100(6):1765–1772
Bollen CW, van Well GTJ, Sherry T et al (2005) High frequency oscillatory ventilation compared with conventional mechanical ventilation in adult respiratory distress syndrome: a randomized controlled trial. Critical Care 9:R430–R439
Ferguson ND, Chicche JD, Kacmarek RM et al (2005) Combining high-frequency oscillatory ventilation and recruitment maneuvers in adults with early acute respiratory distress syndrome: the Treatment with Oscillation and an Open Lung Strategy (TOOLS) trial pilot study. Crit Care Med 33(3):479–486
Lucangelo U, Fontanesi L (2003) High frequency ventilation, principles and technique. Minerva Anesthesiol 69:841–851
Birnkrant DJ, Pope JF (1996) Persistent pulmonary consolidation treated with intrapulmonary percussive ventilation: a preliminary report. Pediatr Pulomonol 21:246–249
Reper P, Dankaert R(1998) The usefulness of high frequency percussive ventilation during acute respiratory failure after smoke inhalation. Burns 24:34–38
Gattinoni L, Tognoni G, Pesenti A et al (2001) Effect of prone positioning on the survival of patients with acute respiratory failure. N Engl J Med 345(8):568–573
Mancebo J, Fernández R, Blanch L et al (2006) A multicenter trial of prolonged prone ventilation in severe acute respiratory distress syndrome. Am J Respir Crit Care Med 173:1233–1239
Voggenreiter G, Aufmkolk M, Stiletto RJ et al (2005) Prone positioning improves oxygenation in post-traumatic lung injury-a prospective randomized trial. J Trauma 59(2):333–341
Papazian L, Gainnier M, Marin V et al (2005) Comparison of prone positioning and highfrequency oscillatory ventilation in patients with acute respiratory distress syndrome. Crit Care Med 33(10):2162–2171
Demory D, Michelet P, Arnal JM et al (2007) High-frequency oscillatory ventilation following prone positioning prevents a further impairment in oxygénation. Crit Care Med 35(1):106–111
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Lucangelo, U., Gramaticopolo, S., Bacer, B. (2008). Controlled Mechanical Ventilation in ARDS. In: Lucangelo, U., Pelosi, P., Zin, W.A., Aliverti, A. (eds) Respiratory System and Artificial Ventilation. Springer, Milano. https://doi.org/10.1007/978-88-470-0765-9_9
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DOI: https://doi.org/10.1007/978-88-470-0765-9_9
Publisher Name: Springer, Milano
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