Abstract
AbstractAs exemplified by prone positioning, regional variations of lung and chest wall properties provide possibilities for modifying transpulmonary pressures and suggest that clinical interventions related to the judicious application of external pressure may yield benefit. Recent observations made in late-phase patients with severe ARDS caused by COVID-19 (C-ARDS) have revealed unexpected mechanical responses to local chest wall compressions over the sternum and abdomen in the supine position that challenge the clinician’s assumptions and conventional bedside approaches to lung protection. These findings appear to open avenues for mechanism-defining research investigation with possible therapeutic implications for all forms and stages of ARDS.
Publisher
Springer Science and Business Media LLC
Subject
Critical Care and Intensive Care Medicine
Reference28 articles.
1. Lumb AB. Nunn’s applied respiratory physiology. 5th ed. Butterworths; 2000. p. 114–22.
2. Osmond DG. Functional anatomy of the chest wall, chapter 14. In: Roussos C, editor. The thorax. 2nd ed. Marcel Dekker; 1995. p. 413–44.
3. Froese AB. Gravity, the belly and the diaphragm. Anesthesiology. 2006;104(1):193–6.
4. Marini JJ, Tyler ML, Hudson LD, Davis BS, Huseby JS. Influence of head-dependent positions on lung volume and oxygen saturation in chronic airflow obstruction. Am Rev Respir Dis. 1984;129:101–5.
5. Gattinoni L, Taccone P, Carlesso E, Marini JJ. Prone position in acute respiratory distress syndrome. Rationale, indications and limits. Am J Respir Crit Care Med. 2013;188(11):1286–93. https://doi.org/10.1164/rccm.201308-1532CI.
Cited by
25 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献