Controlled airway pressure therapy, nitric oxide inhalation, prone position, and extracorporeal membrane oxygenation (ECMO) as components of an integrated approach to ARDS.

@article{Ullrich1999ControlledAP,
  title={Controlled airway pressure therapy, nitric oxide inhalation, prone position, and extracorporeal membrane oxygenation (ECMO) as components of an integrated approach to ARDS.},
  author={Roman Ullrich and C. Lorber and G R{\"o}der and Georg Urak and Barbara Faryniak and Robert N. Sladen and Peter Germann},
  journal={Anesthesiology},
  year={1999},
  volume={91 6},
  pages={
          1577-86
        }
}
BACKGROUND Recent years have seen the introduction of innovative additive therapies for acute respiratory distress syndrome. [] Key MethodMETHODS During a 2.5-yr period, 84 patients with acute respiratory distress syndrome were assigned to a standardized treatment protocol. Data analysis was performed by retrospective review of patient charts.

Acute oxygenation response to inhaled nitric oxide when combined with high-frequency oscillatory ventilation in adults with acute respiratory distress syndrome*

INO delivered at doses of 5 to 20 ppm during high-frequency oscillatory ventilation increases Pao2/Fio2 and may be a safe and effective rescue therapy for patients with severe oxygenation failure.

Trends in and perspectives on extracorporeal membrane oxygenation for severe adult respiratory failure

Clinical usefulness of ECMO was documented in many cases of severe ARDS secondary to influenza A (H1N1) 2009 infection, and ECMO can be expected to gain importance as a respiratory support technique.

P-V approach revisited.

Clinical experience with the pressure–volume approach of the 1980s and recent scientific evidence should have the desired impact on ventilation strategy in critical care units, and it is hoped to gain more clinical experience from such studies to help us incritical care medicine in the 21st century.

Insertion of a Fogarty Catheter through an Endotracheal Tube for One-lung Ventilation : A New Method

Although this first evidence of lung volume–oriented ventilation did not receive a good response, Ullrich et al. supported this approach in their large-scale clinical study.

Interventional Lung Assist – Effective Removal of Carbon Dioxide in Acute Respiratory Failure

In the most severe cases of acute respiratory failure profound hypoxaemia or respiratory acidosis may contradict the sole use of protective ventilation strategies and necessitate additional strategies such as positioning manoeuvres, inhaled vasodilators, partial liquid ventilation or high-frequency ventilation techniques.

Mechanical ventilation during extracorporeal life support (ECLS): a systematic review

Reduction in the intensity of mechanical ventilation in patients with ARDS supported by ECLS is common, suggesting that clinicians may be focused on reducing VILI after ECLs initiation.

Mechanical ventilation in acute respiratory distress syndrome

The acute respiratory distress syndrome occurs commonly in critical care. There is an increasing volume of clinical and experimental evidence that poor ventilatory technique that is injurious to the
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