Causes and characteristics of death in patients with acute …
2020年7月3日 · Background Acute hypoxemic respiratory failure (AHRF) and acute respiratory distress syndrome (ARDS) are associated with high in-hospital mortality. However, in cohorts of ARDS patients from the 1990s, patients more commonly died from sepsis or multi-organ failure rather than refractory hypoxemia. Given increased attention to lung-protective ventilation and …
Relationships between dyspnea, oxygenation and prognosis in …
2024年12月18日 · Among ICU patients admitted with acute hypoxemic respiratory failure, dyspnea was found to be associated with an increased risk of intubation, but not with higher mortality. While this study provides valuable insights into respiratory failure, it also uncovers the complex relationships between dyspnea, oxygenation, intubation, and mortality.
Post-extubation oxygenation strategies in acute respiratory failure: …
2021年4月9日 · The main cause of acute hypoxic respiratory failure was pneumonia. Although NPPV/HFNC use did not significantly lower the mortality risk (relative risk [95% confidence interval] 0.75 [0.53–1.06] and 0.92 [0.67–1.27]; low and moderate certainty, respectively), HFNC use significantly lowered the reintubation risk (0.54 [0.32–0.89]; high ...
Long-term cognitive impairment after acute respiratory distress ...
2019年11月12日 · Acute respiratory distress syndrome (ARDS) survivors experience a high prevalence of cognitive impairment with concomitantly impaired functional status and quality of life, often persisting months after hospital discharge. In this review, we explore the pathophysiological mechanisms underlying cognitive impairment following ARDS, the …
Derivation and validation of generalized sepsis-induced acute ...
2024年10月1日 · For example, the high mortality of phenotype B (severe hypoxic respiratory failure) is 51%, which is close to the numbers reported (34–46%) in previous studies . Our phenotyping algorithm from EMR data with high richness has been shown to be generalizable and consistent across multiple patient groups from different hospitals, also suggested ...
Strategies for lung- and diaphragm-protective ventilation in acute ...
2022年8月29日 · Background Insufficient or excessive respiratory effort during acute hypoxemic respiratory failure (AHRF) increases the risk of lung and diaphragm injury. We sought to establish whether respiratory effort can be optimized to achieve lung- and diaphragm-protective (LDP) targets (esophageal pressure swing − 3 to − 8 cm H2O; dynamic transpulmonary driving …
Acute on Chronic Respiratory Failure with Hypoxia
2020年5月5日 · The patient was well-nourished and in an acute on chronic hypoxic and hypercapnic respiratory distress (oxygen saturation of 96% on room air). His current weight was 71.5kg with a height of 5’8 inches.
How we approach titrating PEEP in patients with acute hypoxemic …
2023年10月31日 · However, in some patients, identifying the optimal PEEP may be more challenging, for instance, in patients with obesity because they could have low chest wall compliance, increased intraabdominal pressure, or very severe hypoxemic failure. In such patients, we use advanced respiratory monitoring to evaluate the impact of PEEP at the bedside.
Nasal high-flow oxygen in patients with hypoxic respiratory failure ...
2012年3月20日 · This study compared a nasal high-flow oxygen therapy (NHFO 2) with conventional oxygen therapy via a Venturi mask (VM) or noninvasive ventilation (NIV) in patients with hypoxic respiratory failure. Study endpoints were functional respiratory parameters, dyspnea, patient comfort and a global rating by the patients.
Physiological effects of awake prone position in acute hypoxemic ...
2023年8月17日 · Background The effects of awake prone position on the breathing pattern of hypoxemic patients need to be better understood. We conducted a crossover trial to assess the physiological effects of awake prone position in patients with acute hypoxemic respiratory failure. Methods Fifteen patients with acute hypoxemic respiratory failure and PaO2/FiO2 < 200 …