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Table 1 Mechanisms of MV-induced brain damage

From: Harmful effects of mechanical ventilation on neurocognitive functions

Alveolar stretching

Systemic and cerebral mediators of neuroinflammation

Systemic release of lung-produced inflammatory mediators (“biotrauma”)

Local activation of brain inflammatory mediators

Immunomediated: Toll-like receptor expression

Afferent neuronal signal: DRD2

Beta amyloid production

PaO2/PaCO2 abnormalities

Hypo/hyperoxia

Hypo/hypercapnia

  1. Alveolar stretching—through mechanotransduction—induces neuroinflammation with the release of mediators