Barotrauma: Pathophysiology, Risk Factors, and Prevention | Semantic Scholar (2024)

It is concluded that artificial ventilation might cause pulmonary and systemic adverse reactions by inducing the release of mediators into the circulation.

The increased incidence of barotrauma with COVID-19 may be a product of the pathophysiology of this disease state and a heightened inflammatory response causing rampant acute lung injury and evidence-based medicine and lung-protective ventilation should remain the mainstay of treatment.

It is suggested that large cyclic tidal volumes may increase paracellular permeability, potentially resulting in alveolar flooding, using a novel method to determine that applied epithelial strain increases parace cellular permeability in a dose- and rate-dependent manner.

MHI was not applied with the recommended PIP, and VHI parameters were not identified, and the study indicates a need to educate physiotherapists about current VHI and MHI practice guidelines.

Pneumothorax can develop in rare circ*mstances even if airway pressures are under the safety range and anaesthesiologists must be aware of such potential danger.

The effects of endotracheal tube (ETT) size, suction catheter size, and two lung mechanics (resistance and compliance) on ventilator-related parameters measured during suction are determined to help improve clinical airway management.

This paper investigates whether the advantage of the new ventilation method can be explained using standard linear lumped-parameter models of respiratory mechanics, and finds simple models were able to qualitatively capture the improvement.

The history of non-invasive ventilation and its role in acute in-hospital chronic obstructive pulmonary disease (COPD) exacerbations, cardiogenic pulmonary edema, and weaning from mechanical ventilation in the elderly are discussed.

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It was found that tension pneumothorax rapidly occurs after the appearance of these cysts if airway pressures are not reduced or chest tubes are not in place, and secondary infection of the cysts was common and added significant morbidity to this already compromised group of patients.

Prolonged artificial ventilation was employed 29 times in cases of severe status asthmaticus at the Medical Department, University of Turku, in co-operation with the Department of Anesthesiology, and the conclusion reached is that this form of therapy is useful, often a necessary and lifesaving measure in the treatment of patients with most severe statusAsthmaticu.

It is concluded that the responsible physician should be guided by factors other than control of pH in choosing the mode of mechanical ventilation for most patients.

By utilizing the SILV technique to match the quantitative aspects of respiratory dysfunction in each lung at specific times in the clinical course, it was possible to optimize gas exchange, to reduce barotrauma, and often to reverse apparently fixed ARDS changes.

The result justifies prophylactic anticoagulant therapy in all cases of spinal cord injury during the acute post-traumatic phase and the incidence of deep venous thrombosis in paralyzed patients was studied.

Airway pressures and cardiorespiratory variables were compared for conventional ventilation and high-frequency jet ventilation, at a similar fraction of inspired O2 (Fio2), positive end-expiratory pressure (PEEP) and Paco2 in 11 ICU patients and HFJV decreased significantly PAP and was less likely to produce pulmonary barotrauma.

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