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VOLUME 20 , ISSUE 3 ( 2016 ) > List of Articles

CASE REPORT

Acute respiratory distress syndrome: Pulmonary and extrapulmonary not so similar

Digambar Behera

Keywords : Acute lung injury, acute respiratory distress syndrome, esophageal pressure, lung compliance, transpulmonary pressure

Citation Information : Behera D. Acute respiratory distress syndrome: Pulmonary and extrapulmonary not so similar. Indian J Crit Care Med 2016; 20 (3):194-197.

DOI: 10.4103/0972-5229.178188

License: CC BY-ND 3.0

Published Online: 00-03-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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.


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