Letter to: acute respiratory distress syndrome in traumatic brain injury: how do we manage it?

We read with great interest the excellent article by Della Torre et al. on the management of acute respiratory distress syndrome (ARDS) in patients with traumatic brain injury (TBI) (1). This thorough review, which deals extensively with the ventilatory management of patients with ARDS and TBI, may benefit from further expansion on the challenging hemodynamic management of these patients.