ArticleCritical care explorations2025
Invasive Pleural Manometry to Explore the Physiology Behind Paradoxical Compliance Response to Abdominal Compression-A Case of "Unexpandable" Lung in Acute Respiratory Distress Syndrome.
Article in Critical care explorations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
backgroundRecent reports have described an intriguing pathophysiological phenomenon in acute respiratory distress syndrome (ARDS), with the paradoxical improvement of respiratory mechanics after maneuvers raising intra-abdominal pressure in the context of low positive end-expiratory pressure. CASE SUMMARY: We hereby present a case exhibiting this paradoxical physiology during mechanical ventilation for severe COVID-19-associated ARDS and discuss the findings of our physiologic assessment of this condition with invasive pleural manometry performed at the bedside.
conclusionsEven though it is rare, awareness of this intriguing condition is paramount to the critical care physician as the lung mechanics of these patients can deteriorate with traditional treatment strategies.
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