Top

Published in:

01-04-2017 | Editorial

Will all ARDS patients be receiving mechanical ventilation in 2035? We are not sure

Authors: Michael Quintel, Tommaso Tonetti, Luciano Gattinoni

Published in: Intensive Care Medicine | Issue 4/2017

Excerpt

Prediction of the future is a risky game: who really knows if and how mechanical ventilation will be applied in 20 years from now? Before entering this opaque, foggy territory, the fundamental question to be answered in this context is: do we expect human physiology to change over the next 20 years? With great probability, unless extraordinary and unexpected evolutionary miracles occur, the answer will be “no”. We may consequently try to rationally approach this question while considering on one side physiology and on the other expected or even unexpected technical improvements. …

Amato M et al (1996) Improved survival in ARDS: beneficial effects of a lung protective strategy (abstract). Am J Respir Crit Care Med 153(4):A531

Amato MB et al (1998) Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 338(6):347–354CrossRefPubMed

Amato MB et al (2015) Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med 372(8):747–755CrossRefPubMed

Gattinoni L et al (1987) Pressure–volume curve of total respiratory system in acute respiratory failure: computed tomographic scan study. Am Rev Respir Dis 136(3):730–736CrossRefPubMed

Gattinoni L, Pesenti A (2005) The concept of “baby lung”. Intensive Care Med 31(6):776–784CrossRefPubMed

Hickling KG, Henderson SJ, Jackson R (1990) Low mortality associated with low volume pressure limited ventilation with permissive hypercapnia in severe adult respiratory distress syndrome. Intensive Care Med 16(6):372–377CrossRefPubMed

Cressoni M et al (2008) Anatomical and functional intrapulmonary shunt in acute respiratory distress syndrome. Crit Care Med 36(3):669–675CrossRefPubMed

Cressoni M et al (2014) Lung inhomogeneity in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 189(2):149–158PubMed

Fan E et al (2016) Venovenous extracorporeal membrane oxygenation for acute respiratory failure: a clinical review from an international group of experts. Intensive Care Med 42(5):712–724. doi:10.1007/s00134-016-4314-7 CrossRefPubMed

10.

Gattinoni L et al (2016) The “baby lung” became an adult. Intensive Care Med 42(5):663–673CrossRefPubMed

Title: Will all ARDS patients be receiving mechanical ventilation in 2035? We are not sure
Authors: Michael Quintel
Tommaso Tonetti
Luciano Gattinoni
Publication date: 01-04-2017
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 4/2017
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-016-4456-7

At a glance: The STEP trials

Springer Medicine

Will all ARDS patients be receiving mechanical ventilation in 2035? We are not sure

Excerpt

At a glance: The STEP trials

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 4/2017

Factors influencing physical activity and rehabilitation in survivors of critical illness: a systematic review of quantitative and qualitative studies

Sepsis: frontiers in supportive care, organisation and research

Effects of neuromuscular blockers on transpulmonary pressures in moderate to severe acute respiratory distress syndrome

Bedside multimodal imaging of hemidiaphragm palsy after spinal cord injury

Effect of a condolence letter on grief symptoms among relatives of patients who died in the ICU: a randomized clinical trial

Mechanism of ICU-acquired weakness: muscle contractility in critical illness