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3 lip 2023 · This activity reviews the treatment of refractory hypoxemia and highlights the role of the venovenous extracorporeal membrane oxygenation in treating patients with this condition. Objectives: Describe the pathophysiology of refractory hypoxemia.
18 lip 2023 · This narrative review explores the physiology and evidence-based management of patients with severe acute respiratory distress syndrome (ARDS) and refractory hypoxemia, with a focus on mechanical ventilation, adjunctive therapies, and veno-venous extracorporeal membrane oxygenation (V-V ECMO).
“Open lung strategy” of low tidal volume with high PEEP and permissive hypercapnia is successful in the majority of ARDS patients. Life-threatening hypoxemia usually accounts for <15% of mortality in ARDS. Aggressive interventions are needed to manage critical hypoxia and minimize organ failure.
This narrative review summarizes recent research on interventions for the relief of breathlessness, including both non-pharmacologic and pharmacologic options. KEY WORDS: dyspnea, breathlessness, chronic disease management.
12 gru 2022 · By presenting a case of serious acute refractory hypoxemia, we proposed an efficient protocol for diagnosing and treating hypoxemia in a safe and fast way.
Fig 1 Strategies to improve oxygenation in refractory hypoxemia. Treatment options marked with an asterisk have been shown to improve survival and oxygenation. PaO 2 /FIO 2 ratios corresponding to the ideal time of initiation of these strategies are shown. ECMO, extracorporeal membrane oxygenation; HFOV, high frequency oscillation ventilation ...
taking care of a patient with refractory hypoxemia would look at options for improving oxygenation, envisage an acceptable degree of hypoxemia, contemplate timing of rescue therapies, and identify the best rescue therapy available. The clinician faces a difficult task because many of these strategies improve
