Patient Self-Inflicted Lung Injury (P-SILI) part 1


I deal with a complex and recent subject that is of great importance in monitoring patients afflicted with ARDS: the Patient Self-Inflicted Lung Injury (P-SILI).

The objectives of this piece are divided into two parts:

  1. To define the P-SILI.
  2. Bedside monitoring of P-SILI (which we will discuss in the second part of this report)
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How to monitor inspiratory effort

Quantifying inspiratory effort can be useful in many aspects of assisting a person that is undergoing mechanical ventilation. For example, it represents the first step in understanding whether the level of pressure support set in the ventilator is adequate for the clinical objective or the importance of this data in the early detection of Patient Self Inflicted Lung Injury (P-SILI).

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