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ARDS, Mechanical Ventilation, and Weaning

  • Federica MariniEmail author
  • Simone Cipani
  • Armando Sarti
  • Carla Farnesi
Chapter

Abstract

Lung ultrasound allows the intensivist to answer to a majority of critical situation. Mechanical ventilation for acute respiratory failure is a routine aspect of patient management in ICU. Transthoracic ultrasound offers several important advantages as diagnostic imaging technique for several important pulmonary conditions such as acute respiratory distress syndrome (ARDS). The application of mechanical ventilation and subsequent weaning changes normal ventilatory mechanism and produces alterations in cardiac preload and afterload.

Keywords

Chest ultrasonography Lung ultrasound Acute respiratory distress syndrome Respiratory failure Ventilation Weaning Intensive care unit 

Suggested Reading

  1. Arbelot C, Ferrari F, Bouhemad B, Rouby JJ. Lung ultrasound in acute respiratory distress syndrome and acute lung injury. Curr Opin Crit Care. 2008;14:70–4.CrossRefGoogle Scholar
  2. Baron A, et al. Echo-Doppler demonstration of acute cor pulmonale at the bedside in the medical intensive care unit. Am J Respir Crit Care Med. 2002;166:1310–9.CrossRefGoogle Scholar
  3. Bouhemad B, Aberlot C, et al. Ultrasound assessment of antibiotic-induced pulmonary reaeration in ventilator-associated pneumonia. Crit Care Med. 2010;38(1):84–92.CrossRefGoogle Scholar
  4. Bouhemad B, et al. Bedside ultrasound assessment of positive end-expiratory pressure-induced lung recruitment. Am J Respir Crit Care Med. 2011;183:341–7.CrossRefGoogle Scholar
  5. Bouhemad B, et al. Ultrasound for “lung monitoring” of ventilated patients. Anesthesiology. 2015;122:437–47.CrossRefGoogle Scholar
  6. Caille V, et al. Echocardiography: a help in the weaning process. Crit Care. 2010;14:R120. http://ccforum.com/content/14/3/R120.CrossRefGoogle Scholar
  7. De Robertis E, et al. Ultrasonography during weaning: a support to a comprehensive skillful strategy. Minerva Anestesiol. 2016;82(11):1132–4.Google Scholar
  8. Feihl F, Broccard AF. Interactions between respiration and systemic hemodynamics. Part II: practical implications in critical care. Intensive Care Med. 2009;35:198–205.CrossRefGoogle Scholar
  9. The ARDS Definition Task Force. Acute respiratory distress syndrome - the Berlin definition. JAMA. 2012;307(23):2526.Google Scholar
  10. Umbrello M, et al. Current concepts of ARDS: a narrative review. Int J Mol Sci. 2017;18:64.  https://doi.org/10.3390/ijms18010064.CrossRefGoogle Scholar
  11. Vignon P, et al. Critical care ultrasonography in acute respiratory failure. Crit Care. 2016;20:228.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Federica Marini
    • 1
    Email author
  • Simone Cipani
    • 1
  • Armando Sarti
    • 2
  • Carla Farnesi
    • 2
  1. 1.Anesthesia and Intensive Care DepartmentSanta Maria Nuova Hospital, Azienda USL Toscana CentroFlorenceItaly
  2. 2.Anesthesia and Intensive Care DepartmentAzienda USL Toscana CentroFlorenceItaly

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