Rescue Therapeutical Procedures in Patients with Severe ARDS
Authors:
P. Dostál; R. Pařízková
Authors‘ workplace:
Klinika anesteziologie, resuscitace a intenzivní medicíny, UK v Praze, LF v Hradci Králové, Fakultní nemocnice Hradec Králové, přednosta kliniky doc. MUDr. V. Černý, PhD., FCCM
Published in:
Anest. intenziv. Med., , 2003, č. 4, s. 172-180
Category:
Overview
Prognosis of patients suffering from acute respiratory distress syndrome (ARDS) remains uncertain with mortality rate20–60 %. Severe respiratory failure featuring profound hypoxemia resistant to conventional therapy may occur in somepatients. „Rescue therapy procedures“ have been considered as treatment options mostly in experimental setting or instrictly defined and limited cohorts of patients. Selected experimental and clinical trials evaluating therapy with inhalednitric oxide, surfactant treatment, liquid ventilation, high frequency oscillation, extracorporeal lung assisting devices andprone position are discussed.Based on currently available results,prone position and high frequency oscillatory ventilationappear to be most promising and likely to become a part of standard therapy for selected subgroups of patients in the future.
Key words:
ARDS – nitric oxide – surfactant – liquid ventilation – ECLA – HFOV – prone position
Labels
Anaesthesiology, Resuscitation and Inten Intensive Care MedicineArticle was published in
Anaesthesiology and Intensive Care Medicine
2003 Issue 4
Most read in this issue
- Rescue Therapeutical Procedures in Patients with Severe ARDS
- Intrapulmonary Conditions and Ventilatory Parameters in Conventional and High FrequencyVentilation
- The History of Resuscitation II. (18th century to the beginning of 19th century – Part Two)
- How to Ventilate Patients with ALI/ARDS: a Search for Consensus