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July 7, 1999JAMA1,917 citations

Effect of Mechanical Ventilation on Inflammatory Mediators in Patients With Acute Respiratory Distress Syndrome

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VRV. Marco RanieriPSPeter M. SuterCTCosimo Tortorella

Key Points

  • This research aims to investigate how mechanical ventilation affects inflammatory mediators in patients with acute respiratory distress syndrome.
  • Examined the cytokine response induced by mechanical ventilation.
  • Evaluated strategies to minimize lung overdistention and recruitment/derecruitment.
  • Future studies suggested to determine clinical end point improvements.
  • Cytokine response was noted with mechanical ventilation.
  • Potential physiological improvements indicated may require further clinical endpoint analysis.
  • Future research needed to confirm associations with clinical outcomes.

Abstract

Mechanical ventilation can induce a cytokine response that may be attenuated by a strategy to minimize overdistention and recruitment/derecruitment of the lung. Whether these physiological improvements are associated with improvements in clinical end points should be determined in future studies.

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Cite This Study

Ranieri et al. (1999) studied this question.

synapsesocial.com/papers/69da673ab48bb130d4684cf7https://doi.org/10.1001/jama.282.1.54
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