Open AccessAcute respiratory distress syndrome: Pulmonary and extrapulmonary not so similar
Author(s) -
Inderpaul Singh Sehgal,
Sahajal Dhooria,
Digambar Behera,
Ritesh Agarwal
Publication year - 2016
Publication title -
indian journal of critical care medicine/indian journal of critical care medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 30
eISSN - 1998-359X
pISSN - 0972-5229
DOI - 10.4103/0972-5229.178188
Subject(s) - ards , medicine , hypoxemia , acute respiratory distress , intensive care medicine , pulmonary compliance , respiratory distress , compliance (psychology) , respiratory system , lung , respiratory physiology , anesthesia , psychology , social psychology
Acute respiratory distress syndrome (ARDS) is characterized by acute onset respiratory failure with bilateral pulmonary infiltrates and hypoxemia. Current evidence suggests different respiratory mechanics in pulmonary ARDS (ARDSp) and extrapulmonary ARDS (ARDSexp) with disproportionate decrease in lung compliance in the former and chest wall compliance in the latter. Herein, we report two patients of ARDS, one each with ARDSp and ARDSexp that were managed using real-time esophageal pressure monitoring using the AVEA ventilator to tailor the ventilatory strategy.