Spontaneous Breathing during Mechanical Ventilation Risks, Mechanisms, and Management

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Arquivos
art_YOSHIDA_Spontaneous_Breathing_during_Mechanical_Ventilation_Risks_Mechanisms_and_2017.PDF (948.31 KB)
Citações na Scopus
221
Tipo de produção
article
Data de publicação
2017
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
AMER THORACIC SOC
Autores
YOSHIDA, Takeshi
FUJINO, Yuji
KAVANAGH, Brian P.
Citação
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, v.195, n.8, p.985-992, 2017
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Spontaneous respiratory effort during mechanical ventilation has long been recognized to improve oxygenation, and because oxygenation is a key management target, such effort may seem beneficial. Also, disuse and loss of peripheral muscle and diaphragm function is increasingly recognized, and thus spontaneous breathing may confer additional advantage. Reflecting this, epidemiologic data suggest that the use of partial (vs. full) support modes of ventilation is increasing. Notwithstanding the central place of spontaneous breathing in mechanical ventilation, accumulating evidence indicates that it may cause-or worsen-acute lung injury, especially if acute respiratory distress syndrome is severe and spontaneous effort is vigorous. This Perspective reviews the evidence for this phenomenon, explores mechanisms of injury, and provides suggestions for clinical management and future research.
Palavras-chave
mechanical ventilation, acute respiratory distress syndrome, spontaneous breathing, ventilator-induced lung injury
URI
https://observatorio.fm.usp.br/handle/OPI/19978
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/09