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Editorial
. 2018 Mar;10(3):1258-1264.
doi: 10.21037/jtd.2018.02.71.

Atelectrauma or volutrauma: the dilemma

Francesco Cipulli  1 , Francesco Vasques  1 , Eleonora Duscio  1 , Federica Romitti  1 , Michael Quintel  1 , Luciano Gattinoni  1
Affiliations
Editorial

Atelectrauma or volutrauma: the dilemma

Francesco Cipulli et al. J Thorac Dis. 2018 Mar.
No abstract available

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Expiratory static strain as a function of the applied end-expiratory pressure. The assumptions of the model are a specific lung elastance of 12 cmH2O and a lung elastance to total elastance of the RS ratio of 0.7 (20). PEEP, positive end-expiratory pressure; ART, Alveolar Recruitment for ARDS Trial; RS, respiratory system.
Figure 2
Figure 2
Estimate of mean mechanical power of the RS (first 7 days of ICU stay) applied to the control group (left, grey column) and to the PEEP group (right, red) of the ART trial. PEEP, positive end-expiratory pressure; ART, Alveolar Recruitment for ARDS Trial; ICU, intensive care unit; RS, respiratory system.
Figure 3
Figure 3
Estimate of mechanical power delivered during the overall recruitment maneuver of the ART trial before (A) and after (B) the amendment of the protocol. ART, Alveolar Recruitment for ARDS Trial.
See this image and copyright information in PMC

Comment on

  • Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in Patients With Acute Respiratory Distress Syndrome: A Randomized Clinical Trial.
    Writing Group for the Alveolar Recruitment for Acute Respiratory Distress Syndrome Trial (ART) Investigators; Cavalcanti AB, Suzumura ÉA, Laranjeira LN, Paisani DM, Damiani LP, Guimarães HP, Romano ER, Regenga MM, Taniguchi LNT, Teixeira C, Pinheiro de Oliveira R, Machado FR, Diaz-Quijano FA, Filho MSA, Maia IS, Caser EB, Filho WO, Borges MC, Martins PA, Matsui M, Ospina-Tascón GA, Giancursi TS, Giraldo-Ramirez ND, Vieira SRR, Assef MDGPL, Hasan MS, Szczeklik W, Rios F, Amato MBP, Berwanger O, Ribeiro de Carvalho CR. Writing Group for the Alveolar Recruitment for Acute Respiratory Distress Syndrome Trial (ART) Investigators, et al. JAMA. 2017 Oct 10;318(14):1335-1345. doi: 10.1001/jama.2017.14171. JAMA. 2017. PMID: 28973363 Free PMC article. Clinical Trial.

References

    1. Acute Respiratory Distress Syndrome Network , Brower RG, Matthay MA, et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000;342:1301-8. 10.1056/NEJM200005043421801 - DOI - PubMed
    1. Bellani G, Laffey JG, Pham T, et al. Epidemiology, Patterns of Care, and Mortality for Patients with Acute Respiratory Distress Syndrome in Intensive Care Units in 50 Countries. JAMA 2016;315:788-800. 10.1001/jama.2016.0291 - DOI - PubMed
    1. Lachmann B. Open up the lung and keep the lung open. Intensive Care Med 1992;18:319-21. 10.1007/BF01694358 - DOI - PubMed
    1. Writing Group for the Alveolar Recruitment for Acute Respiratory Distress Syndrome Trial (ART) Investigators , Cavalcanti AB, Suzumura ÉA, et al. Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in Patients With Acute Respiratory Distress Syndrome: A Randomized Clinical Trial. JAMA 2017;318:1335-45. 10.1001/jama.2017.14171 - DOI - PMC - PubMed
    1. ARDS Definition Task Force , Ranieri VM, Rubenfeld GD, et al. Acute respiratory distress syndrome: the Berlin Definition. JAMA 2012;307:2526-33. - PubMed

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