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Intensive Care Medicine

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01-01-2014 | Letter

Raising positive end-expiratory pressures in ARDS to achieve a positive transpulmonary pressure does not cause hemodynamic compromise

Authors: Todd Sarge, Stephen H. Loring, Maayan Yitsak-Sade, Atul Malhotra, Victor Novack, Daniel Talmor

Published in: Intensive Care Medicine | Issue 1/2014

Excerpt

Dear Editor, …

Briel M, Meade M, Mercat A, Brower RG, Talmor D, Walter SD, Slutsky AS, Pullenayegum E, Zhou Q, Cook D, Brochard L, Richard JC, Lamontagne F, Bhatnagar N, Stewart TE, Guyatt G (2011) Higher vs lower positive end-expiratory pressure in patients with acute lung injury and acute respiratory distress syndrome: systematic review and meta-analysis. JAMA 303:865–873CrossRef

Fougeres E, Teboul JL, Richard C, Osman D, Chemla D, Monnet X (2010) Hemodynamic impact of a positive end-expiratory pressure setting in acute respiratory distress syndrome: importance of the volume status. Crit Care Med 38:802–807PubMedCrossRef

Talmor D, Sarge T, Malhotra A, O’Donnell CR, Ritz R, Lisbon A, Novack V, Loring SH (2008) Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med 359:2095–2104PubMedCrossRef

The Acute Respiratory Distress Syndrome Network (2000) Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 342:1301–1308

Feihl F, Broccard AF (2009) Interactions between respiration and systemic hemodynamics. Part II: practical implications in critical care. Intensive Care Med 35:198–205PubMedCrossRef

Title: Raising positive end-expiratory pressures in ARDS to achieve a positive transpulmonary pressure does not cause hemodynamic compromise
Authors: Todd Sarge
Stephen H. Loring
Maayan Yitsak-Sade
Atul Malhotra
Victor Novack
Daniel Talmor
Publication date: 01-01-2014
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 1/2014
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-013-3127-1

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Raising positive end-expiratory pressures in ARDS to achieve a positive transpulmonary pressure does not cause hemodynamic compromise

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