Closed-loop anesthesia: foundations and applications in contemporary perioperative medicine

Coeckelenbergh, Sean; Boelefahr, Sebastian; Alexander, Brenton; Perrin, Laurent; Rinehart, Joseph; Joosten, Alexandre; Barvais, Luc

doi:10.1007/s10877-023-01111-4

J Clin Monit Comput

2024

DOI: 10.1007/s10877-023-01111-4

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Closed-loop anesthesia: foundations and applications in contemporary perioperative medicine

Sean Coeckelenbergh,

Sebastian Boelefahr,

Brenton Alexander

et al.

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Challenges in Transitioning from Controlled to Assisted Ventilation in Acute Respiratory Distress Syndrome (ARDS) Management

Battaglini,

Rocco

2024

JCM

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Acute respiratory distress syndrome (ARDS) presents significant challenges in critical care, primarily due to its inflammatory nature, which leads to impaired gas exchange and respiratory mechanics. While mechanical ventilation (MV) is essential for patient support, the transition from controlled to assisted ventilation is complex and may be associated with intensive care unit-acquired weakness, ventilator-induced diaphragmatic dysfunction and patient self-inflicted lung injury. This paper explores the multifaceted challenges encountered during this transition, with a focus on respiratory effort, sedation management, and monitoring techniques, and investigates innovative approaches to enhance patient outcomes. The key strategies include optimizing sedation protocols, employing advanced monitoring methods like esophageal pressure measurements, and implementing partial neuromuscular blockade to prevent excessive respiratory effort. We also emphasize the importance of personalized treatment plans and the integration of artificial intelligence to facilitate timely transitions. By highlighting early rehabilitation techniques, continuously assessing the respiratory drive, and fostering collaboration among multidisciplinary teams, clinicians can improve the transition from controlled to assisted MV, ultimately enhancing recovery and long-term respiratory health in patients with ARDS.

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Challenges in Transitioning from Controlled to Assisted Ventilation in Acute Respiratory Distress Syndrome (ARDS) Management

Battaglini,

Rocco

2024

JCM

View full text Add to dashboard Cite

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Closed-loop anesthesia: foundations and applications in contemporary perioperative medicine

Cited by 1 publication

References 99 publications

Challenges in Transitioning from Controlled to Assisted Ventilation in Acute Respiratory Distress Syndrome (ARDS) Management

Challenges in Transitioning from Controlled to Assisted Ventilation in Acute Respiratory Distress Syndrome (ARDS) Management

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