10 principais eajm.org concorrentes

turkishjic.org

Objective: The treatment of acute respiratory distress syndrome (ARDS) is highly complex, and its mortality rate remains significant. Positive end-expiratory pressure (PEEP) titration plays a crucial role in mechanical ventilation; however, the optimal approach for PEEP titration has yet to be established. This study evaluated the volume gain at different PEEP levels along the pressure-volume curve, changes in end-expiratory lung volume (EELV) measured via the modified multiple nitrogen wash-out/wash-in technique, and respiratory compliance. Materials and Methods: Following approval from the ethics committee, 14 patients with ARDS receiving invasive mechanical ventilation in intensive care units were included in the study. According to the Berlin Criteria, there were 2 patients with mild ARDS, 7 with moderate ARDS, and 5 with severe ARDS. The repeated nitrogen wash-out/wash-in technique assessed functional residual capacity (FRC) and EELV at decreasing PEEP levels (±5 cm H2O) were determined. Gain and compliance values were calculated based on the dynamic pressure-volume curves generated. Arterial blood gas analysis was conducted to measure oxygenation at each PEEP level. Results: The highest compliance, gain, and EELV values, as well as the lowest driving pressure and strain values, were observed at a PEEP level of 10 cm H2O. Conversely, the highest PaO2 values, representing oxygenation indicators, were recorded at a PEEP level of 15 cm H2O. Notably, the gain remained largely unaffected by changes in compliance, elastance, driving pressure, and static strain; it was not affected by lung distension. Conclusions: In PEEP titration, alveolar distension was not detected by EELV or gain parameters. Sufficient evidence could not be obtained solely in clinical practice.

pediatrics.jmir.org

Improving pediatric and adolescent health outcomes and empowering and educating parents

cliospsyche.org

If you are interested in receiving more information or having a representative contact you, please complete and submit the form below, or we may be reached at: Email: cliospsycheeditor@gmail.com Phone: (201) 891-7486 Mail: 627 Dakota Trail, Franklin Lakes, NJ 07417

eajem.com

Improving Disaster Preparedness Among Healthcare Professionals: A Comprehensive Approach - Eurasian Journal of Emergency Medicine

drnihatmustafayev.com.tr

Yendiğan ve Çocuk EEG, Çocuk EMG Ultrasonografi, EMG, EEG, TMS, Ağrı, Elektrofizyoloji,Pediyatrik Nöroloji

klimud.org

klinik mikrobiyoloji uzmanlarının kâr amacı gütmeyen, mesleki ve bilimsel amaçlı, ulusal tıpta uzmanlık derneğidir.