Respiratory Mechanics.

Anesthesiol Clin

Department of Anaesthesiology and Intensive Care, HELIOS Klinikum München West, Teaching Hospital of the Ludwig-Maximilians-Universität, Steinerweg 5, München 85241, Germany. Electronic address:

Published: September 2021

AI Article Synopsis

  • - Today's management of ventilated patients still depends on traditional metrics like airway pressures and flow, while also exploring new graphical methods to enhance understanding of patient-ventilator interactions.
  • - The COVID-19 pandemic has challenged healthcare providers by presenting complex pulmonary issues, emphasizing the need for optimized bedside care using advanced technologies.
  • - This review highlights both established practices and new monitoring advancements, advocating for a blend of foundational knowledge and innovative tools in intensive care.

Article Abstract

Today's management of the ventilated patient still relies on the measurement of old parameters such as airway pressures and flow. Graphical presentations reveal the intricacies of patient-ventilator interactions in times of supporting the patient on the ventilator instead of fully ventilating the heavily sedated patient. This opens a new pathway for several bedside technologies based on basic physiologic knowledge; however, it may increase the complexity of measurements. The spread of the COVID-19 infection has confronted the anesthesiologist and intensivist with one of the most severe pulmonary pathologies of the last decades. Optimizing the patient at the bedside is an old and newly required skill for all physicians in the intensive care unit, supported by mobile technologies such as lung ultrasound and electrical impedance tomography. This review summarizes old knowledge and presents a brief insight into extended monitoring options.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8360707PMC
http://dx.doi.org/10.1016/j.anclin.2021.04.003DOI Listing

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