Acute respiratory distress syndrome. Basic principles and treatment

被引:12
|
作者
Spieth, P. M. [1 ]
Gueldner, A. [1 ]
de Abreu, M. Gama [1 ]
机构
[1] Tech Univ Dresden, Univ Klinikum Carl Gustav Carus, Pulm Engn Grp, Klin Anasthesiol & Intens Therapie,Pulm Engn Grp, Fetscherstr 74, D-01307 Dresden, Germany
来源
ANAESTHESIST | 2017年 / 66卷 / 07期
关键词
Mechanical ventilation; Critical care; Prone position; Positive end expiratory pressure; Extracorporeal circulation; ACUTE LUNG INJURY; EXTRACORPOREAL MEMBRANE-OXYGENATION; INHALED NITRIC-OXIDE; HIGH-FREQUENCY OSCILLATION; END-EXPIRATORY PRESSURE; MECHANICAL VENTILATION; CLINICAL-TRIAL; ML/KG; ARDS; MORTALITY;
D O I
10.1007/s00101-017-0337-x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Even after many years of intensive research acute respiratory distress syndrome (ARDS) is still associated with a high mortality. Epidemiologically, ARDS represents a central challenge for modern intensive care treatment. The multifactorial etiology of ARDS complicates the clear identification and evaluation of new therapeutic interventions. Lung protective mechanical ventilation and adjuvant therapies, such as the prone position and targeted extracorporeal lung support are of particular importance in the treatment of ARDS, depending on the severity of the disease. In order to guarantee an individualized and needs-adapted treatment, ARDS patients benefit from treatment in specialized centers.
引用
收藏
页码:539 / 552
页数:14
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