Literature DB >> 4026501

Improved oxygenation after muscle relaxation in adult respiratory distress syndrome.

J W Coggeshall, J J Marini, J H Newman.   

Abstract

Arterial blood oxygenation improved repeatedly after sedation and paralysis in a 27-year-old woman requiring mechanical ventilation for the adult respiratory distress syndrome. Oxygen consumption and cardiac output decreased proportionately after paralysis so that the partial pressure of oxygen in mixed venous blood remained unchanged. Paralysis eliminated inspiratory distortion of the airway pressure waveform and prevented forceful use of expiratory musculature. A flow-related reduction of venous admixture or recruitment of lung volume may best explain the beneficial effect of muscle relaxation on arterial saturation.

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Year:  1985        PMID: 4026501

Source DB:  PubMed          Journal:  Arch Intern Med        ISSN: 0003-9926


  11 in total

Review 1.  The adult respiratory distress syndrome--20 years on.

Authors:  D J Shale
Journal:  Thorax       Date:  1987-09       Impact factor: 9.139

Review 2.  Sedation and neuromuscular blocking agents in acute respiratory distress syndrome.

Authors:  Jeremy Bourenne; Sami Hraiech; Antoine Roch; Marc Gainnier; Laurent Papazian; Jean-Marie Forel
Journal:  Ann Transl Med       Date:  2017-07

3.  The use of neuromuscular blocking drugs in the intensive care unit: a US perspective.

Authors:  M J Murray; R A Strickland; C Weiler
Journal:  Intensive Care Med       Date:  1993       Impact factor: 17.440

Review 4.  The use of muscle relaxants in the intensive care unit.

Authors:  M D Sharpe
Journal:  Can J Anaesth       Date:  1992-11       Impact factor: 5.063

5.  The effect of single-dose and continuous skeletal muscle paralysis on respiratory system compliance in paediatric intensive care patients.

Authors:  M B Schindler; D J Bohn; A C Bryan
Journal:  Intensive Care Med       Date:  1996-05       Impact factor: 17.440

6.  Role of bedside electroencephalography in the adult intensive care unit during therapeutic neuromuscular blockade.

Authors: 
Journal:  Crit Care       Date:  1997       Impact factor: 9.097

7.  Propofol-Associated Hypertriglyceridemia in Coronavirus Disease 2019 Versus Noncoronavirus Disease 2019 Acute Respiratory Distress Syndrome.

Authors:  Michael T Kenes; Jakob I McSparron; Vincent D Marshall; Karl Renius; Robert C Hyzy
Journal:  Crit Care Explor       Date:  2020-12-16

8.  Sedation, Analgesia, and Muscle Relaxation During VV-ECMO Therapy in Patients With Severe Acute Respiratory Syndrome Coronavirus Type 2 (SARS-CoV-2): A Single-Center, Retrospective, Observational Study.

Authors:  Fang Wu; Mingna Li; Zhongwei Zhang; Jiawei Shang; Yong Guo; Yingchuan Li
Journal:  Front Med (Lausanne)       Date:  2021-12-17

9.  A fresh look at paralytics in the critically ill: real promise and real concern.

Authors:  David Price; Nicholas J Kenyon; Nicholas Stollenwerk
Journal:  Ann Intensive Care       Date:  2012-10-12       Impact factor: 6.925

Review 10.  Myorelaxants in ARDS patients.

Authors:  Sami Hraiech; Takeshi Yoshida; Djillali Annane; Abhijit Duggal; Vito Fanelli; Arnaud Gacouin; Leo Heunks; Samir Jaber; Peter D Sottile; Laurent Papazian
Journal:  Intensive Care Med       Date:  2020-11-07       Impact factor: 17.440

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