Critical care explorations · 2025
Invasive Pleural Manometry to Explore the Physiology Behind Paradoxical Compliance Response to Abdominal Compression-A Case of "Unexpandable" Lung in Acute Respiratory Distress Syndrome.
СтатьяКлинический случайНазвание и аннотация: Перевод пока не подготовлен
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Martel-Pelletier Charles-Étienne, Laufer Brian, Brosseau Marc, Viau-Lapointe Julien, Tremblay Jan-Alexis
Аннотация
BACKGROUND: Recent reports have described an intriguing pathophysiological phenomenon in acute respiratory distress syndrome (ARDS), with the paradoxical improvement of respiratory mechanics after maneuvers raising intra-abdominal pressure in the context of low positive end-expiratory pressure.
CASE SUMMARY: We hereby present a case exhibiting this paradoxical physiology during mechanical ventilation for severe COVID-19-associated ARDS and discuss the findings of our physiologic assessment of this condition with invasive pleural manometry performed at the bedside.
CONCLUSIONS: Even though it is rare, awareness of this intriguing condition is paramount to the critical care physician as the lung mechanics of these patients can deteriorate with traditional treatment strategies.
CASE SUMMARY: We hereby present a case exhibiting this paradoxical physiology during mechanical ventilation for severe COVID-19-associated ARDS and discuss the findings of our physiologic assessment of this condition with invasive pleural manometry performed at the bedside.
CONCLUSIONS: Even though it is rare, awareness of this intriguing condition is paramount to the critical care physician as the lung mechanics of these patients can deteriorate with traditional treatment strategies.