Oncology Medical News about respiratory distress syndrome

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Risk factors for acute respiratory distress syndrome during neutropenia recovery in patients with hematologic malignancies
Critical Care, 11/06/09

Rhee CK et al. – Neutropenia recovery may be associated with deterioration in oxygenation and exacerbation of pre–existing pulmonary disease. However, risk factors for acute respiratory distress syndrome (ARDS) during neutropenia recovery in patients with hematologic malignancies have not been studied. Patients with hematologic malignancies complicated by pneumonia during neutropenia are at increased risk for ARDS during neutropenia recovery.

Exclusive Author Commentary
Jeong Sup Song, 11/08/09

The nature of neutropenia recovery in patients with hematologic malignancies is very different from that in patients with solid cancers. In the present study, we showed differences between patients who developed ARDS during neutropenia and who did not. Among these differences, the occurrence of pneumonia during neutropenia was a strong risk factor for developing ARDS. In patients with hematologic malignancies who have pneumonia during neutropenia, close monitoring of respiratory status during neutropenia recovery is very important. Because the mortality of ARDS patiets in this subset was very high, when pulmonary infiltrate is noted and respiratory symptoms exist before neutropenia recovery, early respiratory care should be offered.

Corticosteroid therapy for acute lung injury, acute respiratory distress syndrome, and severe pneumonia: A meta-analysis of randomized controlled trials
Journal of Critical Care, 11/11/09 Relevance Score: 81%

Pulmonary Capillary Blood Flow and Cardiac Output Measurement by Partial Carbon Dioxide Rebreathing in Patients with Acute Respiratory Distress Syndrome Receiving Lung Protective Ventilation
Anesthesiology, 10/08/09 Relevance Score: 81%

Lung Opening and Closing During Ventilation of Acute Respiratory Distress Syndrome
American Journal of Respiratory and Critical Care Medicine, 11/13/09 Relevance Score: 80%

Acute Respiratory Distress Syndrome: Rapid And Significant Response To Volume- Controlled Inverse Ratio Ventilation
Middle East Journal of Anesthesiology, 10/26/09 Relevance Score: 80%

Acute Hemodynamic Effects of Recruitment Maneuvers in Patients With Acute Respiratory Distress Syndrome
Journal of Intensive Care Medicine, 10/22/09 Relevance Score: 80%