Hemodynamic disorders during air vesicle opening in patients under critical conditions with acute lung injury/acute respiratory distress syndrome
Abstract
The paper assesses various methods of the air vesicle opening under acute respiratory distress syndrome in 57 patients aged 24 to 73 years old with the multiple organ failure. The monocentre randomised study proved to improve the oxygenation after performing the manoeuvre of the air vesicle opening but also revealed the temporary decrease of the central hemodynamics indices and oxygen delivery. As reported, there is a need to perform careful monitoring while implementing this respiratory technique.
About the Authors
R. M. Magomedov
The Russian National Research Medical University named after N.I. Pirogov
Russian Federation
Russian Federation
D. N. Protsenko
City Clinical Hospital No. 7
Russian Federation
Russian Federation
O. V. Ignatenko
City Clinical Hospital No. 7
Russian Federation
Russian Federation
A. I. Yaroshetskiy
City Clinical Hospital No. 7
Russian Federation
Russian Federation
B. R. Gelfand
The Russian National Research Medical University named after N.I. Pirogov
Russian Federation
Russian Federation
References
1. Kassil’ V.L., Zolotokrylina E.S. The acute respiratory distress syndrome. M.: Medicina, 2003. 224 p.
2. The acute respiratory distress syndrome: a practical guide, eds. B.R. Gel’fand, VL. Kassil’ M.: Litterra, 2007. 232 p.
3. Dreyfuss D., Saumon G. Ventilator-induced lung injury: lessons from experimental studies, Am. J. Respire Crit. Care Med. 1998. No. 157. Р. 294-323.
4. Marini J.J., Ventilator-induced airway dysfunction? Am. J. Respir. Crit. Care Med. 2001. No. 163. Р. 806-807.
5. Parsons et al. Lower tidal volume ventilation and plasma cytokine markers of inflammation in patients with acute lung injury, Crit. Care Med. 2005. No. 33. Р. 1-6.
6. Slutsky A.S. Lung injury caused by mechanical ventilation, Chest. 1999. No. 116. Р. 9S-15S.
7. Webb H.H., Tierney D.F., Experimental pulmonary edema due to intermittent positive pressure ventilation with high inflation pressures. Protection by positive end-expiratory pressure, Am. Rev. Respir. Dis. 1974. No. 110. Р. 556-565.
Review
For citations:
Magomedov R.M., Protsenko D.N., Ignatenko O.V., Yaroshetskiy A.I., Gelfand B.R. Hemodynamic disorders during air vesicle opening in patients under critical conditions with acute lung injury/acute respiratory distress syndrome. Pacific Medical Journal. 2012;(3):85-87. (In Russ.)
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