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Published in: Intensive Care Medicine 3/2012

01-03-2012 | Editorial

Transpulmonary pressure as a surrogate of plateau pressure for lung protective strategy: not perfect but more physiologic

Authors: Jean-Christophe M. Richard, John J. Marini

Published in: Intensive Care Medicine | Issue 3/2012

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Excerpt

During the last pandemic, experience in the management of the most severely affected patients with influenza A (H1N1)-related acute respiratory distress syndrome (ARDS) included increased use of extracorporeal membrane oxygenation (ECMO) [1, 2]. Growing interest in this technique has been spurred by the results of a large cohort study in which transfer to an ECMO center was associated with lower hospital mortality than matched non-ECMO-referred patients [3]. To date, it has been difficult to establish recommendations for ECMO referral, since neither the type of patients who benefit from this technique nor the exact timing of the switch from conventional treatment to ECMO have been systematically investigated [4]. …
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Metadata
Title
Transpulmonary pressure as a surrogate of plateau pressure for lung protective strategy: not perfect but more physiologic
Authors
Jean-Christophe M. Richard
John J. Marini
Publication date
01-03-2012
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 3/2012
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-012-2492-5

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