Automatic protective ventilation using the ARDSNet protocol with …
Jun 23, 2014 · Introduction Automatic ventilation for patients with respiratory failure aims at reducing mortality and can minimize the workload of clinical staff, offer standardized continuous care, and ultimately save the overall cost of therapy. We therefore developed a prototype for closed-loop ventilation using acute respiratory distress syndrome network (ARDSNet) …
The ARDSnet protocol may be detrimental in COVID-19
Jun 16, 2020 · Intensive care units are overwhelmed with COVID-19 ARDS patients during the last months, and increased mortality has been reported [1]. The Surviving Sepsis Campaign-COVID-19 guidelines and, recently, the American Thoracic Society (ATS) proposed to treat COVID-19 per ARDSnet protocol [2, 3]. However, there are a few issues we would like to ...
Comparison of a fully automatic ARDSNet protocol and a feedback ...
Mar 19, 2013 · The auto open lung management concept gave much better gas exchange than the auto ARDSNet protocol. These preliminary results showed a necessity to evaluate the two different ventilation strategies. Therefore, further experiments with pig models will be implemented in the near future to obtain results with statistical significance and to ensure ...
Acute respiratory distress syndrome - the Berlin definition: impact …
Mar 19, 2013 · We analyzed the database of our ICU collected prospectively from October 2008 to January 2011 and regarded all patients undergoing MV for 48 hours or more and who met the AECC criteria. All patients were ventilated according to the ARDSNet protocol.
Electrical impedance tomography for titration of positive end ...
Nov 4, 2022 · Comparison of PEEP level titrated by EIT method and ARDSnet protocol. The PEEP levels titrated by both EIT method based on the GI index and the ARDSnet protocol were lower in the COPD group than in the non-COPD group (EIT method: 6.93 ± 1.69 cm H 2 O vs. 12.15 ± 2.40 cm H 2 O, P < 0.001 and ARDSnet protocol:10.43 ± 1.20 cm H 2 O vs. 14.0 ± 3.0 …
ARDSNet protocol To some extent, our algorithm of the ARDSNet protocol is based on earlier work of our group [20,21]. The proto-col is a ventilation strategy using low tidal volume at 6 ml/kg of the PBW based on the formulae given in Equations (1) and (2) for male and female subjects [17]: PBW maleðÞ¼50 þ2:3ðÞðheight inches½−60 1Þ
PEEP-FiO2 table versus EIT to titrate PEEP in mechanically …
Sep 12, 2022 · Rationale It is unknown how to titrate positive end-expiratory pressure (PEEP) in patients with COVID-19-related acute respiratory distress syndrome (ARDS). Guidelines recommend the one-size-fits-all PEEP-FiO2 table. In this retrospective cohort study, an electrical impedance tomography (EIT)-guided PEEP trial was used to titrate PEEP. Objectives To …
Dynamic lung aeration and strain with positive end-expiratory …
Aug 3, 2023 · Relative to the ARDSNet low-stretch protocol, the maximal compliance PEEP strategy resulted in: (1) improved dynamic whole-lung aeration at end-expiration (0.456 ± 0.064 vs. 0.377 ± 0.101, P = 0.019) and end-inspiration (0.514 ± 0.079 vs. 0.446 ± 0.083, P = 0.012) with reduced non-aerated and increased normally-aerated lung mass without ...
Recruitment Maneuvers and Higher PEEP, the So-Called Open …
Mar 9, 2019 · Inspiration time in the ARDSNet protocol is too short to recruit the majority of alveoli and too long to prevent the alveoli from collapsing. APRV might address both problems. APRV consists of a continuous positive airway pressure (P high) with a brief intermittent release phase (P low) for expiration and CO 2 removal. Patients are allowed to ...
to determine whether titration of PEEP based on electrical impedance tomography (EIT) is superior to the ARDSnet protocol. This is a single center, perspective, repeated measure study. ARDS patients requiring mechanical ventila-tion who were admitted to the intensive care unit between August 2017 and December 2020 were included. ARDS