Static and dynamic contributors to ventilator-induced lung injury in clinical practice. Pressure, energy, and power

JJ Marini, PRM Rocco, L Gattinoni - American journal of respiratory …, 2020 - atsjournals.org
Ventilation is inherently a dynamic process. The present-day clinical practice of
concentrating on the static inflation characteristics of the individual tidal cycle (plateau …

The future of mechanical ventilation: lessons from the present and the past

L Gattinoni, JJ Marini, F Collino, G Maiolo, F Rapetti… - Critical Care, 2017 - Springer
The adverse effects of mechanical ventilation in acute respiratory distress syndrome (ARDS)
arise from two main causes: unphysiological increases of transpulmonary pressure and …

Ventilator-related causes of lung injury: the mechanical power

L Gattinoni, T Tonetti, M Cressoni, P Cadringher… - Intensive care …, 2016 - Springer
Purpose We hypothesized that the ventilator-related causes of lung injury may be unified in
a single variable: the mechanical power. We assessed whether the mechanical power …

[HTML][HTML] Driving pressure and mechanical power: new targets for VILI prevention

T Tonetti, F Vasques, F Rapetti, G Maiolo… - Annals of …, 2017 - ncbi.nlm.nih.gov
Several factors have been recognized as possible triggers of ventilator-induced lung injury
(VILI). The first is pressure (thus the 'barotrauma'), then the volume (hence the 'volutrauma') …

Bedside calculation of mechanical power during volume-and pressure-controlled mechanical ventilation

D Chiumello, M Gotti, M Guanziroli, P Formenti… - Critical care, 2020 - Springer
Background Mechanical power (MP) is the energy delivered to the respiratory system over
time during mechanical ventilation. Our aim was to compare the currently available methods …

Fifty Years of Research in ARDS.Respiratory Mechanics in Acute Respiratory Distress Syndrome

WR Henderson, L Chen, MBP Amato… - American journal of …, 2017 - atsjournals.org
Acute respiratory distress syndrome is a multifactorial lung injury that continues to be
associated with high levels of morbidity and mortality. Mechanical ventilation, although …

Airway driving pressure and lung stress in ARDS patients

D Chiumello, E Carlesso, M Brioni, M Cressoni - Critical care, 2016 - Springer
Background Lung-protective ventilation strategy suggests the use of low tidal volume,
depending on ideal body weight, and adequate levels of PEEP. However, reducing tidal …

Mechanical power at a glance: a simple surrogate for volume-controlled ventilation

L Giosa, M Busana, I Pasticci, M Bonifazi… - Intensive care medicine …, 2019 - Springer
Background Mechanical power is a summary variable including all the components which
can possibly cause VILI (pressures, volume, flow, respiratory rate). Since the complexity of …

Advanced point-of-care bedside monitoring for acute respiratory failure

G Cammarota, R Simonte, F Longhini… - …, 2023 - ingentaconnect.com
Advanced respiratory monitoring involves several mini-or noninvasive tools, applicable at
bedside, focused on assessing lung aeration and morphology, lung recruitment and …

Personalizing mechanical ventilation according to physiologic parameters to stabilize alveoli and minimize ventilator induced lung injury (VILI)

GF Nieman, J Satalin, P Andrews, H Aiash… - Intensive care medicine …, 2017 - Springer
It has been shown that mechanical ventilation in patients with, or at high-risk for, the
development of acute respiratory distress syndrome (ARDS) can be a double-edged sword …