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Intensive Care Medicine

, Volume 31, Issue 1, pp 28–40 | Cite as

Year in review in intensive care medicine, 2004. I. Respiratory failure, infection, and sepsis

  • Peter Andrews
  • Elie Azoulay
  • Massimo Antonelli
  • Laurent BrochardEmail author
  • Christian Brun-Buisson
  • Geoffrey Dobb
  • Jean-Yves Fagon
  • Herwig Gerlach
  • Johan Groeneveld
  • Jordi Mancebo
  • Philipp Metnitz
  • Stefano Nava
  • Jerome Pugin
  • Michael Pinsky
  • Peter Radermacher
  • Christian Richard
  • Robert Tasker
  • Benoit Vallet
Year in Review 2004

Respiratory failure

Respiratory monitoring

Measurement of lung volume has always been a concern in patients receiving mechanical ventilation (MV), and complex methods have been proposed for clinical investigation. Patroniti et al. [1] described a simplified helium dilution technique to measure end-expiratory lung volume and compared it to computed tomography (CT) in 21 MV patients. The authors specifically studied the accuracy and precision of the method. A simple rebreathing gas was used to deliver at least ten usual tidal volumes. The agreement between the two methods was found very acceptable for clinical purposes. It was noted, however, that the higher the amount of hyperinflated tissue, the greater was the underestimation of lung volume by the helium dilution method. It has been well demonstrated that a frequent cause of repeated lung volume loss is endotracheal suctioning. This can induce derecruitment in patients with acute respiratory distress syndrome (ARDS). The effects of...

Keywords

Continuous Positive Airway Pressure Chronic Obstructive Pulmonary Disease Patient Acute Respiratory Distress Syndrome Infective Endocarditis Simplify Acute Physiology Score 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • Peter Andrews
  • Elie Azoulay
  • Massimo Antonelli
  • Laurent Brochard
    • 1
    Email author
  • Christian Brun-Buisson
  • Geoffrey Dobb
  • Jean-Yves Fagon
  • Herwig Gerlach
  • Johan Groeneveld
  • Jordi Mancebo
  • Philipp Metnitz
  • Stefano Nava
  • Jerome Pugin
  • Michael Pinsky
  • Peter Radermacher
  • Christian Richard
  • Robert Tasker
  • Benoit Vallet
  1. 1.Medical Intensive Care UnitUniversity Hospital Henri MondorCreteilFrance

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