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Department of Anesthesia and Intensive Care ASST Santi Paolo e Carlo
Department of Health Sciences
Coordinated Research Center on Respiratory Failure University of Milan
Critical asthma is relatively uncommon, with its incidence on the decline; however, it can require intensive care, including mechanical ventilation. This article provides an overview of critical asthma management. Critical asthma (CA) is an umbrella term embracing different definitions, all referring to an acute asthma exacerbation that can rapidly deteriorate into respiratory failure,...
READ MOREMechanical power is an easy bedside tool to guide lung protective ventilation, as it is an index of the energy load applied to the lung during mechanical ventilation and expresses in one formula all the main determinants of ventilator-induced lung injury. Although a threshold value has not already been defined, a mechanical power greater than 17 J/min has been demonstrated to be associated with...
READ MOREComputed tomography (CT) remains an invaluable technique to evaluate lung morphology and response to ventilatory strategy and to understand the pathophysiology of Acute Respiratory Distress Syndrome (ARDS) patients. The first report of Acute Respiratory Distress Syndrome (ARDS) in 1967 described patients with severe hypoxaemia and bilateral chest x-ray infiltrates (Nash et al. 1967). After...
READ MOREAn overview of the multiple characteristics of life overnight in a critical care ward, the relationships between caregivers, patients and family, and how this complex reality is embedded in an artificial and often unfriendly environment. Introduction Whether it is a matter of keeping on with the hard work - as day and night would be an endless succession, as they actually are...
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