SPECIFIC FEATURES OF PEEP ADJUSTMENT IN THE PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME AND INTRACRANIAL HYPERTENSION
The literature review describes current approaches to management of patients with acute cerebral lesions and intracranial hypertension, complicated by acute respiratory distress syndrome (ARDS). It presents the stages of ventilation strategy evolution in patients with ARDS. The effect of the increas...
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2018-01-01
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| Series: | Вестник анестезиологии и реаниматологии |
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| Online Access: | https://www.vair-journal.com/jour/article/view/186 |
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| _version_ | 1849344095237963776 |
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| author | A. V. Oshorov A. A. Polupan A. S. Busankin N. Yu. Tarasova |
| author_facet | A. V. Oshorov A. A. Polupan A. S. Busankin N. Yu. Tarasova |
| author_sort | A. V. Oshorov |
| collection | DOAJ |
| description | The literature review describes current approaches to management of patients with acute cerebral lesions and intracranial hypertension, complicated by acute respiratory distress syndrome (ARDS). It presents the stages of ventilation strategy evolution in patients with ARDS. The effect of the increase in intrathoracic pressure on system hemodynamics parameters during artificial pulmonary ventilation (APV) is demonstrated. The data on changes in venous return and arterial pressure are presented. The review describes the current understanding of the correlation between pulmonary mechanics and central hemodynamics and effect of these factors on cerebral hemodynamics. The brief description of intracranial tension and cerebral compliance is given. The publication presents the results of up-to-date studies on specific parameters of PEEP optimization in the patients with concurrent acute cerebral lesions, intracranial hypertension, and development of ARDS. Numerous studies were devoted to optimization of APV in case of ARDS, but currently one can not unambiguously conclude about the safe level of PEEP if there is intracranial hypertension. The authors of the article agree with the opinion that more prospective randomized studies are needed and advanced multi-parameter cerebral monitoring is required in case of concurrent pulmonary and cerebral disorders. |
| format | Article |
| id | doaj-art-e9cce6ba1fa74222bcec7a4c4dde5cfe |
| institution | Kabale University |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| publishDate | 2018-01-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj-art-e9cce6ba1fa74222bcec7a4c4dde5cfe2025-08-20T03:42:45ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532018-01-01145829010.21292/2078-5658-2017-14-5-82-90186SPECIFIC FEATURES OF PEEP ADJUSTMENT IN THE PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME AND INTRACRANIAL HYPERTENSIONA. V. Oshorov0A. A. Polupan1A. S. Busankin2N. Yu. Tarasova3Burdenko National Research Center of Neurosurgery, MoscowBurdenko National Research Center of Neurosurgery, MoscowLomonosov Moscow State University, MoscowI. M. Sechenov First Moscow State Medical University, MoscowThe literature review describes current approaches to management of patients with acute cerebral lesions and intracranial hypertension, complicated by acute respiratory distress syndrome (ARDS). It presents the stages of ventilation strategy evolution in patients with ARDS. The effect of the increase in intrathoracic pressure on system hemodynamics parameters during artificial pulmonary ventilation (APV) is demonstrated. The data on changes in venous return and arterial pressure are presented. The review describes the current understanding of the correlation between pulmonary mechanics and central hemodynamics and effect of these factors on cerebral hemodynamics. The brief description of intracranial tension and cerebral compliance is given. The publication presents the results of up-to-date studies on specific parameters of PEEP optimization in the patients with concurrent acute cerebral lesions, intracranial hypertension, and development of ARDS. Numerous studies were devoted to optimization of APV in case of ARDS, but currently one can not unambiguously conclude about the safe level of PEEP if there is intracranial hypertension. The authors of the article agree with the opinion that more prospective randomized studies are needed and advanced multi-parameter cerebral monitoring is required in case of concurrent pulmonary and cerebral disorders.https://www.vair-journal.com/jour/article/view/186acute respiratory distress syndromepositive end expiration pressureintracranial pressureintracranial hypertensioncerebral edema |
| spellingShingle | A. V. Oshorov A. A. Polupan A. S. Busankin N. Yu. Tarasova SPECIFIC FEATURES OF PEEP ADJUSTMENT IN THE PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME AND INTRACRANIAL HYPERTENSION Вестник анестезиологии и реаниматологии acute respiratory distress syndrome positive end expiration pressure intracranial pressure intracranial hypertension cerebral edema |
| title | SPECIFIC FEATURES OF PEEP ADJUSTMENT IN THE PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME AND INTRACRANIAL HYPERTENSION |
| title_full | SPECIFIC FEATURES OF PEEP ADJUSTMENT IN THE PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME AND INTRACRANIAL HYPERTENSION |
| title_fullStr | SPECIFIC FEATURES OF PEEP ADJUSTMENT IN THE PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME AND INTRACRANIAL HYPERTENSION |
| title_full_unstemmed | SPECIFIC FEATURES OF PEEP ADJUSTMENT IN THE PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME AND INTRACRANIAL HYPERTENSION |
| title_short | SPECIFIC FEATURES OF PEEP ADJUSTMENT IN THE PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME AND INTRACRANIAL HYPERTENSION |
| title_sort | specific features of peep adjustment in the patients with acute respiratory distress syndrome and intracranial hypertension |
| topic | acute respiratory distress syndrome positive end expiration pressure intracranial pressure intracranial hypertension cerebral edema |
| url | https://www.vair-journal.com/jour/article/view/186 |
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