Managing Persistent Hypoxemia: what is new?

نویسندگان

  • Jesús Villar
  • Carlos Ferrando
  • Robert M Kacmarek
چکیده

Mechanical ventilation is the standard life-support technique for patients with severe acute respiratory failure. However, some patients develop persistent and refractory hypoxemia because their lungs are so severely damaged that they are unable to respond to the application of high inspired oxygen concentration and high levels of positive end-expiratory pressure. In this article, we review current knowledge on managing persistent hypoxemia in patients with injured lungs.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

مفهوم ماندگاری در معماری اسلامی و مقایسه‌ی آن با مفهوم پایداری در معماری معاصر

The present paper is extracted from a purposeful research aiming at pondering on the recondite meaning of persistence in Iranian architecture during Islamic era and comparing it to the concept of sustainability and contemporary sustainable architecture. It seems that the literature is poor in terms of causes and factors of persistence in Iranian architecture. The limited literature in this area...

متن کامل

Case scenario: power of positive end-expiratory pressure: use of esophageal manometry to illustrate pulmonary physiology in an obese patient.

1320 December 2014 H YPOXEMIA is a commonly encountered problem in mechanically ventilated patients. Treatment of hypoxemia relies on the titration of FIO2 and positive end-expiratory pressure (PEEP) to optimize PaO2. Modern ventilation strategies aimed at minimizing lung injury while simultaneously managing hypoxemia have improved mortality in respiratory failure, but the ideal strategy for lu...

متن کامل

Reuse Contracts: Managing Evolution in Adaptable Systems

Adaptable systems are often described as being composed of a persistent part that remains more or less stable throughout the evolution of the system and of more transient parts which are derived from the persistent part. Current research on adaptability seems to be biased towards adaptable systems of which the persistent part does not evolve at all. We argue that the issue of managing the evolu...

متن کامل

Managing hypoxemia during minimally invasive thoracic surgery.

An ever-increasing number of thoracic procedures are being performed through minimally invasive techniques. Although the incidence of hypoxemia during one-lung ventilation (OLV) has decreased over the years, it remains an issue in roughly 10% of cases. Algorithms for the management of OLV hypoxemia have to be adapted to the thoracoscopic approach, in particular the need for optimal surgical exp...

متن کامل

Persistent hypoxemia and platypnea-orthodeoxia after left single-lung transplantation: a case report

INTRODUCTION Platypnea-orthodeoxia is a relatively uncommon but striking clinical syndrome characterized by dyspnea and deoxygenation accompanying a change to sitting or standing from a recumbent position. Hypoxemia early after lung transplant can have multiple etiologies. We report a rare case of persistent hypoxemia and platypnea-orthodeoxia after left single-lung transplantation, as a result...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 6  شماره 

صفحات  -

تاریخ انتشار 2017