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Editorial
. 2024 Jul;50(7):1149-1151.
doi: 10.1007/s00134-024-07434-3. Epub 2024 May 2.

Managing the cerebral complications of acute respiratory distress syndrome

Chiara Robba  1 , Sung-Min Cho  2 , Mypinder S Sekhon  3   4   5   6
Affiliations
Editorial

Managing the cerebral complications of acute respiratory distress syndrome

Chiara Robba et al. Intensive Care Med. 2024 Jul.
No abstract available

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Conflict of interest statement

Conflicts of interest

The authors declare no conflicts, financial, or otherwise.

Figures

Fig. 1
Fig. 1
Lung protective ventilation strategy and its impact on cerebral physiology in acute respiratory distress syndrome (ARDS). ARDS management includes lung protective ventilation, permissive hypercapnia, relative hypoxemia, and increased intra-thoracic pressure from high positive end-expiratory pressure, each contributing to increased intracranial pressure (ICP) and secondary brain injury. The bundle approach incorporating bedside non-invasive neuromonitoring tools can facilitate early detection of cerebral complications and early and timely management strategies. Non-invasive techniques such as transcranial Doppler (TCD) may provide insights into the degree dysfunctional cerebral autoregulation and potentially assist in identifying patient-specific perfusion thresholds in ARDS patients. Electroencephalography can be utilized to diagnose non-convulsive seizures or localize cerebral pathologies related to ARDS complications
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