Open AccessDriving pressure versus right ventricular echocardiography parameters as a predictive for acute respiratory distress syndrome outcome
Author(s) -
Mohammed Mahmoud Sayed,
Hatem Elatroush,
Yasser Nassar,
Nael Samir,
Mohamed Omar Elghoneme
Publication year - 2022
Publication title -
international journal of health sciences (ijhs) (en línea)
Language(s) - English
Resource type - Journals
eISSN - 2550-6978
pISSN - 2550-696X
DOI - 10.53730/ijhs.v6ns4.5548
Subject(s) - medicine , ards , cardiology , plateau pressure , respiratory distress , airway , ventricle , tidal volume , lung , pulmonary hypertension , mechanical ventilation , continuous positive airway pressure , mean airway pressure , anesthesia , respiratory system , obstructive sleep apnea
Background: Acute respiratory distress syndrome (ARDS) is an inflammatory disease that affects the lung in a heterogeneous manner , so that ,even ideal body weight (IBW) based tidal volume may apply different lung stress and strain according to the available aerated lung areas. Airway driving pressure (DP) is the difference between airway plateau pressure (P plat) and positive endexpiratory pressure (PEEP), it can be used as a bedside surrogate for lung stress in several previous studies. Acute corpulmonale manifested by pulmonary hypertension and right ventricular dysfunction occurs as a consequence for ARDS with a prevalence ( 25% to 61%) in different studies. Objectives : This study was designed to show he clinical value of airway driving pressure and right heart echocardiography parameters in predicting ARDS outcome , and to correlate between airway pressures and right ventricle parameters. Methodology : fifty ARDS patients were diagnosed by Berlin criteria and monitored for airway pressures including DP and Pplat on day 0, day 3 and day 7. transthoracic echocardiography was used to assess RV parameters on day 0 and day 7 . According the ICU mortality patients are divided into survivors and nonsurvivors.