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Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition) ›› 2023, Vol. 09 ›› Issue (01): 84-88. doi: 10.3877/cma.j.issn.2096-1537.2023.01.014

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Techniques to monitor respiratory effort in acute respiratory distress syndrome

Dongyu Chen1, Chun Pan2, Yi Yang2,()   

  1. 1. Jiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing 210009, China; Department of Critical Care Medicine, Yancheng First People's Hospital, Yancheng 224000, China
    2. Jiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing 210009, China
  • Received:2022-03-18 Online:2023-02-28 Published:2023-04-07
  • Contact: Yi Yang

Abstract:

The preservation of spontaneous breathing has different meanings for patients with different severity of acute respiratory distress syndrome (ARDS). Respiratory effort monitoring is the key to the implementation of safe and reliable spontaneous breathing. We discussed the advantages and disadvantages of spontaneous respiration and reviewed the monitoring methods of spontaneous breathing efforts guided by ventilatory response indicators, airway pressure changes, intra-thoracic pressure changes, and diaphragm function in this manuscript. It is recommended for clinicians to monitor the respiratory effort that guided the intervention to avoid aggravating lung injury in ARDS management.

Key words: Acute respiratory distress syndrome, Spontaneous breathing, Respiratory effort

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