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. 2021 Nov;160(5):1739-1742.
doi: 10.1016/j.chest.2021.05.012. Epub 2021 May 21.

Paradoxically Improved Respiratory Compliance With Abdominal Compression in COVID-19 ARDS

Rebecca L Kummer  1 , Robert S Shapiro  1 , John J Marini  2 , Joshua S Huelster  3 , James W Leatherman  4
Affiliations

Paradoxically Improved Respiratory Compliance With Abdominal Compression in COVID-19 ARDS

Rebecca L Kummer et al. Chest. 2021 Nov.
No abstract available

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Figures

Figure 1
Figure 1
A-B, Effect of abdominal compression on respiratory mechanics. Pplat and Crs at Comp and Pre-comp at initial positive end-expiratory pressure settings. Comp = during compression; Crs = respiratory system compliance; Pplat = plateau pressure; Pre-comp = before compression; Pt = patient.
Figure 2
Figure 2
A-B, Airway pressure tracings of patient 5. A, Before compression. B, During compression. Upper concavity of the pressure-time tracing during compression suggesting overdistension is no longer present during compression (arrows).
See this image and copyright information in PMC

References

    1. Hess D.R., Bigatello L.M. The chest wall in acute lung injury/acute respiratory distress syndrome. Curr Opin Crit Care. 2008;14(1):94–102. - PubMed
    1. Pelosi P., Quintel M., Malbrain M.L. Effect of intra-abdominal pressure on respiratory mechanics. Acta Clin Belg. 2007;62(suppl 1):78–88. - PubMed
    1. De Jong A., Verzilli D., Jaber S. ARDS in obese patients: specificities and management. Crit Care. 2019;23(1):74. - PMC - PubMed
    1. Malbrain M., Deeren D., De Potter T. Intra-abdominal hypertension in the critically ill: it is time to pay attention. Curr Opin Crit Care. 2005;11(2):156–171. - PubMed
    1. Cortes-Puentes G.A., Gard K.E., Adams A.B., et al. Value and limitations of transpulmonary pressure calculations during intra-abdominal hypertension. Crit Care Med. 2013;41(8):1870–1877. - PubMed