Intrapulmonary shunt and alveolar dead space in a cohort of patients with acute COVID-19 pneumonitis and early recovery [PDF]
BACKGROUND: Pathological evidence suggests that COVID-19 pulmonary infection involves both alveolar damage (causing shunt) and diffuse micro-vascular thrombus formation (causing alveolar dead space).
Wagner, Peter D +46 more
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Effect of Zolpidem and Enhanced Expiratory Rebreathing Space on Complex Sleep Apnea [PDF]
Treatment-emergent central sleep apnea has been referred to as ‘complex sleep apnea’, where apparently obstructive respiratory events convert to central apneas with application of positive airway pressure.
Chang-Ho Yun, Robert J. Thomas
doaj +1 more source
Background Recent reports of patients with severe, late-stage COVID-19 ARDS with reduced respiratory system compliance described paradoxical decreases in plateau pressure and increases in respiratory system compliance in response to anterior chest wall ...
Michele Umbrello +5 more
doaj +1 more source
IMPORTANCE:. Prone positioning improves clinical outcomes in moderate-to-severe acute respiratory distress syndrome and has been widely adopted for the treatment of patients with acute respiratory distress syndrome due to coronavirus disease 2019. Little
David R. Ziehr, MD +8 more
doaj +1 more source
Relationship between D-dimers and dead-space on disease severity and mortality in COVID-19 acute respiratory distress syndrome: A retrospective observational cohort study [PDF]
Background: Despite its diagnostic and prognostic importance, physiologic dead space fraction is not included in the current ARDS definition or severity classification. ARDS caused by COVID-19 (C-ARDS) is characterized by increased physiologic dead space
Worrall S. +12 more
core +1 more source
End-tidal to arterial PCO2 ratio: a bedside meter of the overall gas exchanger performance
Background The physiological dead space is a strong indicator of severity and outcome of acute respiratory distress syndrome (ARDS). The “ideal” alveolar PCO2, in equilibrium with pulmonary capillary PCO2, is a central concept in the physiological dead ...
Matteo Bonifazi +11 more
doaj +1 more source
Prognostic value of pulmonary dead space in patients with the acute respiratory distress syndrome [PDF]
A study published in the previous issue of Critical Care demonstrates that measurement of the pulmonary dead-space fraction is superior to hypoxemia as an indicator of a favorable physiologic response to prone positioning in patients with severe acute ...
Matthay, Michael A +3 more
core +1 more source
Estimating Dead-Space Fraction for Secondary Analyses of Acute Respiratory Distress Syndrome Clinical Trials [PDF]
OBJECTIVES: Pulmonary dead-space fraction is one of few lung-specific independent predictors of mortality from acute respiratory distress syndrome. However, it is not measured routinely in clinical trials and thus altogether ignored in secondary analyses
Beitler, Jeremy R +8 more
core +1 more source
Instrumental dead space in ventilator management
Michela Botta and colleagues described ventilator management in a large cohort of patients with COVID-19 on mechanical ventilation.1 Their study provides important data on ventilator settings in this population and shows that high tidal volumes on the ...
Massimo Antonelli +7 more
core +1 more source
Background Trunk inclination from semirecumbent head-upright to supine-flat positioning reduces driving pressure and increases respiratory system compliance in patients with acute respiratory distress syndrome (ARDS). These effects are associated with an
Martín H. Benites +9 more
doaj +1 more source

