About this Research Topic
A personalized mechanical ventilation approach based on lung physiology and morphology can play a relevant role in the future of mechanical ventilation practice. Mechanical ventilation is not a single disease-targeted therapy. In the era of clinical trials, most population-based data do not reflect individual patients with different phenotypes and co-morbidities. Indeed, the development of treatment and strategies to manage patients with ARDS is complicated by its heterogeneity.
This Research Topic would like to explore different approaches to personalize mechanical ventilation in the context of acute respiratory failure and ARDS. Focusing on the role of advanced modes of assisted ventilation, lung imaging, and advanced respiratory monitoring (i.e. Esophageal manometry pressure, electrical impedance tomography, computed tomography scan, magnetic resonance imaging, lung volume measurement by dilution techniques, lung, and diaphragm ultrasound), physiologically based individualized approaches to ventilation can help to elucidate the proper therapeutic intervention for the individual patient.
To provide the best care, clinicians need to implement monitoring technology to aid in the understanding of physiologic mechanisms and the possible consequences of different interventions. These techniques include imaging techniques including lung ultrasound and electrical impedance tomography, advanced monitoring such as the use of esophageal catheters, and algorithms to integrate and interpret data describing ventilator state so as to identify complex clinical situations such as patient-ventilator asynchronies or respiratory muscle weakness, or to provide data interpretation and hence clinical support for selecting appropriate ventilation
Furthermore, phases of acute respiratory failure require different priorities: in early ARDS, close attention must be taken to avoid the high inspiratory effort to limit VILI and P-SILI. Several methods are available to monitor inspiratory effort and respiratory drive in assisted mechanical ventilation.
We welcome Reviews, Original Articles, and Opinion article types. We expect submission focusing on the following themes:
• Advanced imaging techniques applied to the study of lung function and morphology and response to ventilator strategies
• The role of assisted modes of mechanical ventilation and P-SILI prevention
• Use of esophageal pressure measurement and surrogates.
• Algorithms to aid with physiological understanding concerning appropriate ventilation.
• Methods to identify and analyze asynchronies and how to treat it
• Use of technique to monitor and prevent muscle weakness in ICU
• Difficult weaning from mechanical ventilation
This Research Topic would like to explore different approaches to personalize mechanical ventilation in the context of acute respiratory failure and ARDS. Focusing on the role of advanced modes of assisted ventilation, lung imaging, and advanced respiratory monitoring (i.e. Esophageal manometry pressure, electrical impedance tomography, computed tomography scan, magnetic resonance imaging, lung volume measurement by dilution techniques, lung, and diaphragm ultrasound), physiologically based individualized approaches to ventilation can help to elucidate the proper therapeutic intervention for the individual patient.
To provide the best care, clinicians need to implement monitoring technology to aid in the understanding of physiologic mechanisms and the possible consequences of different interventions. These techniques include imaging techniques including lung ultrasound and electrical impedance tomography, advanced monitoring such as the use of esophageal catheters, and algorithms to integrate and interpret data describing ventilator state so as to identify complex clinical situations such as patient-ventilator asynchronies or respiratory muscle weakness, or to provide data interpretation and hence clinical support for selecting appropriate ventilation
Furthermore, phases of acute respiratory failure require different priorities: in early ARDS, close attention must be taken to avoid the high inspiratory effort to limit VILI and P-SILI. Several methods are available to monitor inspiratory effort and respiratory drive in assisted mechanical ventilation.
We welcome Reviews, Original Articles, and Opinion article types. We expect submission focusing on the following themes:
• Advanced imaging techniques applied to the study of lung function and morphology and response to ventilator strategies
• The role of assisted modes of mechanical ventilation and P-SILI prevention
• Use of esophageal pressure measurement and surrogates.
• Algorithms to aid with physiological understanding concerning appropriate ventilation.
• Methods to identify and analyze asynchronies and how to treat it
• Use of technique to monitor and prevent muscle weakness in ICU
• Difficult weaning from mechanical ventilation
Keywords: lung imaging, respiratory failure, respiratory mechanics, electrical impedance tomography, lung ultrasound, diaphragm ultrasound, muscle monitoring, assisted mechanical ventilation, weaning
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