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Echocardiography in ARDS

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Echocardiography in ICU

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  • Jardin F, Vieillard-Baron A. Is there a safe plateau pressure in ARDS? The right heart only knows. Intensive Care Med. 2007;33:444–7.

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  • Mekontso-Dessap A, Boissier F, Charron C, et al. Acute cor pulmonale during protective ventilation for acute respiratory distress syndrome: prevalence, predictors, and clinical impact. Intensive Care Med. 2016;42:862–70.

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  • Paternot A, Repessé X, Vieillard-Baron A. Rationale and description of right ventricle-protective ventilation in ARDS. Respir Care. 2016;61:1391–6.

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  • Price L, McAuley D, Marino P, Finney S, Griffiths M, Wort S. Pathophysiology of pulmonary hypertension in acute lung injury. Am J Physiol Lung Cell Mol Physiol. 2012;302(9):L803–15.

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  • Vieillard-Baron A, Charron C, Caille V, et al. Prone position unloads the right ventricle in severe ARDS. Chest. 2007;132:1440–6.

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Author information

Authors and Affiliations

  1. Surgical and Medical ICU, University Hospital Ambroise Paré, APHP, Boulogne-Billancourt, France

    Antoine Vieillard-Baron

Authors
  1. Antoine Vieillard-Baron
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Corresponding author

Correspondence to Antoine Vieillard-Baron .

Editor information

Editors and Affiliations

  1. Medical ICU, University Hospital, Amiens, France

    Michel Slama

Multiple Choice Questions

Multiple Choice Questions

  • 1. Among the following parameters, which ones have been strictly proven to be at risk of RV failure?

    1. A.

      Hyperoxia.

    2. B.

      Hypocapnia.

    3. C.

      High PEEP.

    4. D.

      High plateau pressure (>26 cmH2O).

    5. E.

      Hypercapnia.

  • Answers: D, E

  • 2. What has been proven (clinically or experimentally) to control the deleterious effect of hypercapnia on RV function?

    1. A.

      VA ECMO.

    2. B.

      VV ECMO.

    3. C.

      High respiratory rate.

    4. D.

      Prone position.

    5. E.

      Extracorporeal CO2 removal (ECCO2R).

  • Answers: A, D, E

  • 3. A right ventricular protective approach would:

    1. A.

      Systematically apply a high PEEP.

    2. B.

      Limit the driving pressure.

    3. C.

      Decrease the FiO2.

    4. D.

      Largely use proning.

    5. E.

      Limit the level of hypercapnia.

  • Answers: B, D, E

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Cite this chapter

Vieillard-Baron, A. (2020). Echocardiography in ARDS. In: Slama, M. (eds) Echocardiography in ICU. Springer, Cham. https://doi.org/10.1007/978-3-030-32219-9_20

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  • DOI: https://doi.org/10.1007/978-3-030-32219-9_20

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-32218-2

  • Online ISBN: 978-3-030-32219-9

  • eBook Packages: MedicineMedicine (R0)

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