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Severe Respiratory Failure: ARDS and ECMO

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Echography and Doppler of the Brain

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Abstract

Respiratory complications are common in patients with acute brain injury and represent a significant challenge from both a respiratory and a neurological perspective. Commonly used ventilatory and non-ventilatory strategies may affect cerebral perfusion and oxygen delivery. The concomitant use of brain and general critical care ultrasound techniques aimed at monitoring cerebral perfusion and cardiorespiratory parameters at the bedside may offer a significant benefit in delivering both lung- and neuroprotective approaches in patients with complex ventilatory needs and deranged cerebrovascular physiology. In this chapter we discuss potential applications of ultrasonography for the management of patients with severe respiratory failure. Although appealing and physiologically sound, the use of ultrasound is currently supported by limited evidence and more data are needed to support its routine use in clinical practice.

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Author information

Authors and Affiliations

  1. Interdepartmental Division of Critical Care Medicine and Department of Medicine, University of Toronto, Toronto, ON, Canada

    Alberto Goffi

  2. Department of Medicine, Division of Critical Care Medicine, St. Michael’s Hospital, Toronto, ON, Canada

    Alberto Goffi

  3. Neurocritical Care Unit, Hospital Santa Paula, São Paulo, Brazil

    Airton Leonardo de Oliveira Manoel

  4. Anesthesia and Intensive Care, Policlinico San Martino, IRCCS for Oncology and Neuroscience, Genoa, Italy

    Chiara Robba

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  1. Alberto Goffi
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  2. Airton Leonardo de Oliveira Manoel
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  3. Chiara Robba
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Correspondence to Alberto Goffi .

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Editors and Affiliations

  1. Anesthesia and Intensive Care, Policlinico San Martino, IRCCS for Oncology and Neuroscience, Genoa, Italy

    Chiara Robba

  2. Anesthesia Neurosurgical Intensive Care, ASST Monza School of Medicine, University of Milano, Bicocca, Milano, Italy

    Giuseppe Citerio

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Goffi, A., de Oliveira Manoel, A.L., Robba, C. (2021). Severe Respiratory Failure: ARDS and ECMO. In: Robba, C., Citerio, G. (eds) Echography and Doppler of the Brain. Springer, Cham. https://doi.org/10.1007/978-3-030-48202-2_14

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