Abstract
[...]the airway pressures measured by the ventilator during regular hold maneuvers hardly reflect the alveolar pressures because the ETT is obstructed by the bronchoscope. [...]FB induces unnoticed parenchymal overdistention and derecruitment, which may worsen existing injury; the evolution of the oxygenation parameters could be the tip of the iceberg in terms of FB-related safety in severe ARDS. [...]data regarding optimal performance of bronchoscopy in patients with ARDS is scarce.
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