Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Editorial
. 2025 Aug;211(8):1331-1333.
doi: 10.1164/rccm.202503-0542ED.

Dulling the Double-edged Sword: Expanding the Arsenal of Diaphragm Protection in Early Respiratory Failure

Affiliations
Editorial

Dulling the Double-edged Sword: Expanding the Arsenal of Diaphragm Protection in Early Respiratory Failure

Heder de Vries et al. Am J Respir Crit Care Med. 2025 Aug.
No abstract available

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Pathophysiologic pathway of diaphragm atrophy early in acute respiratory failure and experimental techniques that can facilitate diaphragm activity. Note that other pathways (not shown in the figure) can also contribute to diaphragm atrophy, including inflammation, steroids, catabolic states, neuromuscular blockers, and elevated diaphragm activity. P-SILI = patient self-inflicted lung injury.

Comment on

References

    1. Brower RG, Matthay MA, Morris A, Schoenfeld D, Thompson BT, Wheeler A. 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;342:1301–1308. - PubMed
    1. Goligher EC, Dres M, Patel BK, Sahetya SK, Beitler JR, Telias I. et al. Lung- and diaphragm-protective ventilation. Am J Respir Crit Care Med . 2020;202:950–961. - PMC - PubMed
    1. Goligher EC, Jonkman AH, Dianti J, Vaporidi K, Beitler JR, Patel BK. et al. Clinical strategies for implementing lung and diaphragm-protective ventilation: avoiding insufficient and excessive effort. Intensive Care Med . 2020;46:2314–2326. - PMC - PubMed
    1. de Vries HJ, Jonkman AH, de Grooth HJ, Duitman JW, Girbes ARJ, Ottenheijm CAC. et al. Lung- and diaphragm-protective ventilation by titrating inspiratory support to diaphragm effort: a randomized clinical trial. Crit Care Med . 2022;50:192–203. - PMC - PubMed
    1. Dianti J, Fard S, Wong J, Chan TCY, Del Sorbo L, Fan E. et al. Strategies for lung- and diaphragm-protective ventilation in acute hypoxemic respiratory failure: a physiological trial. Crit Care . 2022;26:259. - PMC - PubMed

LinkOut - more resources