Individualized Multimodal Physiologic Approach to Mechanical Ventilation in Patients With Obesity and Severe Acute Respiratory Distress Syndrome Reduced Venovenous Extracorporeal Membrane Oxygenation Utilization.

Francesco Zadek,Jonah Rubin,Luigi Grassi, Daniel Van Den Kroonenberg,Grant Larson, Martin Capriles,Roberta De Santis Santiago,Gaetano Florio,David A Imber,Edward A Bittner,Kathryn A Hibbert,Alex Legassey, Jeliene LaRocque,Gaston Cudemus-Deseda,Aranya Bagchi,Jerome Crowley,Kenneth Shelton,Robert Kacmarek,Lorenzo Berra

Critical care explorations（2021）

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摘要

In this hypothesis-generating study, individualized optimization of mechanical ventilation of patients with acute respiratory distress syndrome and obesity by a lung rescue team was associated with a decrease in the utilization of venovenous extracorporeal membrane oxygenation, duration of mechanical ventilation, and ICU length of stay. Mortality was not modified by the lung rescue team intervention.

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关键词

acute respiratory distress syndrome,mechanical power,mechanical ventilation,obesity,recruitment maneuver,venovenous extracorporeal membrane oxygenation

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