Abstract
The rate of mortality from acute respiratory distress syndrome (ARDS) has reportedly reached as high as 50–75%.1−3 The risk of ARDS development increases after severe blunt thoracic trauma (BTT) because of a higher likelihood for lung contusion4 and acute depression of cardiac function.5, 6 Monitoring of oxygen transport in patients with ARDS has shown that oxygen delivery and consumption were significantly higher in the survivors compared to nonsurvivors.7 This suggests that maintenance of oxygen delivery at optimal levels can potentially enable the reversal of ARDS.8 In cases of severe BTT, these oxygen transport variables may be induced by early cardiorespiratory dysfunction6, 9 which requires inotropic support.6, 8, 10 On the strength of these data, it is reasonable to conclude that the prevention and correction of oxygen deficiency are basic to intensive care during ARDS.
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References
J. Villar and A. S. Slutsky, The incidence of the adult respiratory distress syndrome, Am. Rev. Respir. Dis. 140, 814–816 (1989).
P. Krafft, P. Fridrich, T. Pemerstorfer, R. D. Fitzgerald, D. Koc, B. Schneider, A. F. Hammerle, and H. Steltzer, The acute respiratory distress syndrome: definitions, severity and clinical outcome. An analysis of 101 clinical investigations, Intensive Care Med. 22, 519–529 (1996).
M. Matejovic, I. Novak, V. Sramek, R. Rokyta, P. Hora, and M. Nalos, Acute respiratory distress syndrome, Cas. Lek Cesk 138, 262–267 (1999).
A. D. Boyd and L. R. Glassman, Trauma to the lung, Chest Surg. Clin. N. Am. 7, 263–284 (1997).
G. G. Rogatskii, Interrelation of cardiodynamics and pulmonary gas exchange in an experimental model of the acute respiratory failure syndrome, Biull. Ekrp. Biol. Med. 98, 273–275 (1984) (Russian).
M. Y. Rady, J. D. Edwards, and P. Nightingale, Early cardiorespiratory findings after severe blunt thoracic trauma and their relation to outcome, Br. J. Surg. 79, 65–68 (1992).
J. A. Russell, J. J. Ronco, D. Lockhat, A. Belzberg, M. Kiess, and P. M. Dodek, Oxygen delivery and consumption and ventricular preload are greater in survivors than in nonsurvivors of the adult respiratory distress syndrome, Am. Rev. Respir. Dis. 141, 659–665 (1990).
H. G. Cryer, J. D. Richardson, S. Longmire-Cook, and C. M. Brown, Oxygen delivery in patients with adult respiratory distress syndrome who undergo surgery. Correlation with multiple-system organ failure, Arch. Surg. 124, 1378–1385 (1989).
M. C. McCarthy, A. L. Cline, G. W. Lemmon, and J. B. Peoples, Pressure control inverse ratio ventilation in the treatment of adult respiratory distress syndrome in patients with blunt chest trauma, Am. Surg. 65, 1027–1030 (1999).
J. F. Dhainaut and F. Brunet, Right ventricular performance in adult respiratory distress syndrome, Eur. Respir. J. Suppl. 11, 490s - 495s (1990).
C. S. Ray, B. Green, and P. Cianci, Hyperbaric oxygen therapy in bum patients with adult respiratory distress syndrome, Undersea Biomed. Res. 16 (Suppl.), 81 (1989).
E. G. Damon and R. K. Jones, Hyperbaric medicine in the treatment of thoracic trauma, Physiologist 14, 127 (1971).
G. G. Rogatskii, M. B. Vainshtein, and T. V. Sevost’ianova, Use of hyperbaric oxygenation to correct an acute experimental respiratory insufficiency syndrome, Biull. Eksp. Biol. Med. 105, 410411 (1988) (Russian).
W. G. Kubicek, J. Kottke, M. U. Ramos, R. P. Patterson, D. A. Witsoe, J. W. Labree, W. Remole, T. E. Layman, H. Schoening, and J. T. Garamela, The Minnesota impedance cardiograph-theory and applications, Biomed. Eng. 9, 410–416 (1974).
W. C. Shoemaker, C. C. Wo, M. H. Bishop, P. L. Appel, J. M. Van de Water, G. R. Harrington, X. Wang, and R. S. Patil, Multicenter trial of a new thoracic electrical bioimpedance device for cardiac output estimation, Crit. Care Med. 22, 1907–1912 (1994).
C. C. J. Wo, W. C. Shoemaker, M. H. Bishop, W. Xiang, R. S. Patil, and D. Thangathurai, Noninvasive estimations of cardiac output and circulatory dynamics in critically ill patients, Curr. Opin. Critic. Care 1, 211–218 (1995).
M. H. Bishop, J. Jorgens, W. C. Shoemaker, P. L. Appel, A. Fleming, D. Williams, G. Jackson, C. J. Wo, L. Babb, and T. Manning, et al.,The relationship between ARDS, pulmonary infiltration, fluid balance, and hemodynamics in critically ill surgical patients, Am. Surg. 57, 785–792 (1991).
S. Jepsen, P. Herlevsen, P. Knudsen, M. I. Bud, and N. O. Klausen, Antioxidant treatment with Nacetylcysteine during adult respiratory distress syndrome: a prospective, randomized, placebo-controlled study, Crit. Care Med. 20, 918–923 (1992).
K. S. Johnson, M. H. Bishop, C. M. 2. Stephen, J. Jorgens, W. C. Shoemaker, S. K. Shori, G. Ordog, H. Thadepalli, P. L. Appel, and H. B. Kram, Temporal patterns of radiographic infiltration in severely traumatized patients with and without adult respiratory distress syndrome, J. Trauma 36, 644–650 (1994).
J. L. Vincent, Is ARDS usually associated with right ventricular dysfunction or failure?, Intensive Care Med. 21, 195–196 (1995).
W. E. Hurford and W. M. Zapol, The right ventricle and critical illness: a review of anatomy, physiology, and clinical evaluation of its function, Intensive Care Med. 14 (Suppl. 2), 448–457 (1988).
I. Boerema, N. G. Meyne, W. K. Brummelkamp, S. Bouma, M. H. Mensch, F. Kammerurans, et al.,Life without blood: a study of the influence of high atmospheric pressure and hypothermia on dilution of blood, Cardiovasc. Surg. 1, 133–146 (1960).
P. B. James, Postoperative hypoxia: an indication for intermittent hyperbaric oxygen?, Lancet 340, 1046 (1992).
R. A. Neubauer and P. James, Cerebral oxygenation and the recoverable brain, Neurol. Res. 20 (Suppl. 1), S33 - S36 (1998).
R. O. Hopkins, L. K. Weaver, D. Pope, J. F. Orme, E. D. Bigler, and V. Larson-Lohr, Neuropsychological sequelae and impaired health status in survivors of severe acute respiratory distress syndrome, Am. J. Respir. Crit. Care Med. 160, 50–56 (1999).
G. Moss and A. A. Stein, The centrineurogenic etiology of the respiratory distress syndrome, Am. J. Surg. 132, 352–357 (1976).
G. G. Oliveira and M. P. Antonio, Role of the central nervous system in the adult respiratory distress syndrome, Crut. Care Med. 15, 844–849 (1987).
S. B. Rockswold, G. L. Rockswold, J. M. Vargo, C. A. Erickson, R. L. Sutton, T. A. Bergman, and M. H. Biros, Effects of hyperbaric oxygenation therapy on cerebral metabolism and intracranial pressure in severely brain injured patients, J. Neurosurg. 94, 403–411 (2001).
E. Braunwald, J. Ross, and E. H. Sonnenblick, Mechanisms of Contraction of the Normal and Failing Heart (Little, Brown and Company, Boston, 1967 ).
K. R. Walley, C. J. Becker, R. A. Hogan, K. Teplinsky, and L. D. Wood, Progressive hypoxemia limits left ventricular oxygen consumption and contractility, Circ. Res. 63, 849–859 (1988).
P. C. Swift, J. H. Turner, H. F. Oxer, J. P. O’Shea, G. K. Lane, and K. V. Woollard, Myocardial hibernation identified by hyperbaric oxygen treatment and echocardiography in postinfarction patients: comparison with exercise thallium scintigraphy, Am. Heart J. 124, 1151–1158 (1992).
L. E. Stuhr, G. W. Bergo, and I. Tyssebotn, Systemic hemodynamics during hyperbaric oxygen exposure in rats, Aviat. Space Environ. Med. 65, 531–538 (1994).
C. Her, A. Kosse, and D. E. Lees, Elevated pulmonary artery systolic storage volume associated with improved ventilation-to-perfusion ratios in acute respiratory failure, Chest 102, 560–567 (1992).
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Rogatsky, G.G., Shifrin, E.G., Mayevsky, A. (2003). Acute Respiratory Distress Syndrome in Patients after Blunt Thoracic Trauma: The Influence of Hyperbaric Oxygen Therapy. In: Thorniley, M., Harrison, D.K., James, P.E. (eds) Oxygen Transport to Tissue XXV. Advances in Experimental Medicine and Biology, vol 540. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-6125-2_12
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DOI: https://doi.org/10.1007/978-1-4757-6125-2_12
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