tailieunhanh - Báo cáo y học: "Gastric intramucosal pH is stable during titration of positive end-expiratory pressure to improve oxygenation in acute respiratory distress syndrome"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về y học đề tài: Gastric intramucosal pH is stable during titration of positive end-expiratory pressure to improve oxygenation in acute respiratory distress syndrome. | Available online http content 7 3 R17 Research Open Access Gastric intramucosal pH is stable during titration of positive end-expiratory pressure to improve oxygenation in acute respiratory distress syndrome Ibrahim Ozkan Akinci1 Nahit Ọakar2 Gokhan Mehmet Mutlu3 Simru Tugrul1 Perihan Ergin Ozcan1 Musa Gitmez1 Figen Esen2 and Lutfi Telci2 1Attendings of Anesthesiology and Intensive Care Department of Anesthesiology and Intensive Care Istanbul Medical Faculty Capa Klinikleri Istanbul Turkey 2Professor of Anesthesiology and Intensive Care Department of Anesthesiology and Intensive Care Istanbul Medical Faculty Capa Klinikleri Istanbul Turkey 3Assistant Professor of Medicine Pulmonary and Critical Care Medicine Evanston Northwestern Healthcare Evanston and Northwestern University Illinois USA Correspondence I Ozkan Akinci iozkana@ Received 12 February 2003 Revisions requested 20 February 2003 Revisions received 24 February 2003 Accepted 24 February 2003 Published 12 March 2003 Critical Care 2003 7 R17-R23 DOI cc2172 This article is online at http content 7 3 R17 2003 Akinci et al. licensee BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X . This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract Background Optimal positive end-expiratory pressure PEEP is an important component of adequate mechanical ventilation in acute lung injury and acute respiratory distress syndrome ARDS . In the present study we tested the effect on gastric intramucosal pH of incremental increases in PEEP level . PEEP titration to improve oxygenation in ARDS. Seventeen consecutive patients with ARDS as defined by consensus criteria were included in this clinical prospective study. All patients were haemodynamically stable and were not receiving vasopressors. From an initial level of 5 cmH2O

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