Association between driving pressure, systemic inflammation and non-pulmonary organ dysfunction in patients with acute respiratory distress syndrome
Barbeta, E., Ferrando, C., López-Aladid, R., Motos, A., Bueno-Freire, L., Fernández-Barat, L., Soler-Comas, A., Palomeque, A., Gabarrús, A., Artigas, A., Camprubí-Rimblas, M., Li Bassi, G., López-Sobrino, T., Sandoval, E., Toapanta, D., Fernández, S., Mellado-Artigas, R., Zattera, L., Vallverdú, J., Laffey, J. G., Ferrer, M., Torres, A. Anaesthesia, Critical Care & Pain Medicine DOI: 10.1016/j.accpm.2024.101458
Abstract: Driving pressure is thought to determine the effect of low tidal ventilation on survival in patients with acute respiratory distress syndrome. The leading cause of mortality in these patients is non-pulmonary multiorgan dysfunction, which is believed to worsen due to the biological response to mechanical ventilation (biotrauma). Therefore, we aimed to analyze the association between driving pressure, biotrauma, and non-pulmonary multiorgan dysfunction. Additionally, we analyzed this relationship for tidal volume/predicted body weight.