Strategies for ventilation in acute, severe lung injury after combat trauma.
Post-traumatic Acute Respiratory Distress Syndrome (ARDS) continues to be a major critical care challenge with a high associated mortality and extensive morbidity for those who survive. This paper explores the evolution in recognition and management of this condition and makes some recommendations for treatment of post-combat ARDS for military practitioners. It is aimed at the generalist in disciplines other than critical care, but will also be of interest to intensivists.
Royal Centre for Defence Medicine, Birmingham, UK.
Thomas G
TG
Brogden
Role 3 Hospital, Camp Bastion, Joint Medical Group, Camp Bastion, Afghanistan.
J
J
Bunin
Role 3 Hospital, Camp Bastion, Joint Medical Group, Camp Bastion, Afghanistan.
H
H
Kwon
Role 3 Hospital, Camp Bastion, Joint Medical Group, Camp Bastion, Afghanistan.
J
J
Lundy
Royal Centre for Defence Medicine, Birmingham, UK.
A
A
McD Johnston
Royal Centre for Defence Medicine, Birmingham, UK Role 3 Hospital, Camp Bastion, Joint Medical Group, Camp Bastion, Afghanistan.
D M
DM
Bowley
D055371:Acute Lung Injury / Q000150:complications*; D001993:Bronchodilator Agents / Q000627:therapeutic use; D003029:Coagulants / Q000627:therapeutic use; D015199:Extracorporeal Membrane Oxygenation; D015942:Factor VIIa / Q000627:therapeutic use; D005440:Fluid Therapy; D006801:Humans; D008887:Military Medicine; D009466:Neuromuscular Blocking Agents / Q000627:therapeutic use; D009569:Nitric Oxide / Q000627:therapeutic use; D016684:Prone Position; D011663:Pulmonary Surfactants / Q000627:therapeutic use; D012121:Respiration, Artificial / Q000379:methods; D012128:Respiratory Distress Syndrome / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D065227:Transfusion Reaction; D055397:Ventilator-Induced Lung Injury / Q000517:prevention & control; D014857:Warfare
D001993:Bronchodilator Agents; D003029:Coagulants; D009466:Neuromuscular Blocking Agents; D011663:Pulmonary Surfactants; D009569:Nitric Oxide; D015942:Factor VIIa