Mechanical Ventilation. Total Eclipse of the Heart (Editorial)
https://doi.org/10.15360/1813-9779-2021-5-1-0
Abstract
Results from recent large randomized trials investigating the use of high PEEP in patients without ARDS all suggest that high levels may increase mortality due to hypotension and bradycardia. A careful assessment of cardiac function — with particular focus on the right ventricle — should be performed before planning our ventilation strategy in any setting, including COVID-19 and ARDS in general. Mechanical ventilation should be respectful in regards of heart function, and tolerant with moderate hypoxia and hypercapnia, noninvasive (whenever possible) and synchronized.
About the Authors
G. Landoni
IRCCS San Raffaele Scientific Institute; Vita-Salute San Raffaele University
Italy
Italy
Giovanni Landoni - Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute.
60 Via Olgettina, 20132 Milano.
P. Nardelli
IRCCS San Raffaele Scientific Institute
Italy
Italy
Pasquale Nardelli - Department of Anesthesia and Intensive Care.
60 Via Olgettina, 20132 Milano.
A. Zangrillo
IRCCS San Raffaele Scientific Institute; Vita-Salute San Raffaele University
Italy
Italy
Alberto Zangrillo - Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute.
60 Via Olgettina, 20132 Milano.
L. A. Hajjar
Universidade de São Paulo
Brazil
Brazil
Ludhmila A. Hajjar - Department of Cardiopneumology; Intensive Care Unit, Instituto do Coração, Hospital das Clinicas HCFMUSP.
44 Av Dr Eneas C Aguiar, 05403-000 São Paulo.
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Review
For citations:
Landoni G., Nardelli P., Zangrillo A., Hajjar L.A. Mechanical Ventilation. Total Eclipse of the Heart (Editorial). General Reanimatology. 2021;17(5):96-100. https://doi.org/10.15360/1813-9779-2021-5-1-0
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