Patient self-inflicted lung injury an important phenomenon

Mechanical ventilation is essential in acute hypoxemic respiratory failure (AHRF), yet excessive respiratory drive and inspiratory effort may aggravate injury, a phenomenon termed patient self-inflicted lung injury (P-SILI). This review summarizes mechanistic insights, preclinical and clinical evidence, and current strategies to prevent P-SILI while preserving diaphragmatic function.

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Monitoring cardiogenic shock: echodynamics vs. pulmonary artery catheter Viewpoints from two leading experts