Search Tag: ARDS

ICU Management

#ISICEM19: Prof. Marco Ranieri - findings from SUPERNOVA trial/plans for SUPERNOVA 2

2019 22 Mar

At the 39th International Symposium on Intensive Care and Emergency Medicine , Professor V. Marco Ranieri , University of Bologna, discussed the SUPERNOVA trial and presented an overview on extracorporeal carbon dioxide removal (ECCO 2 R) as a supportive measure in superprotective lung ventilation.  Mechanical ventilation can cause a form... Read more

ICU Management

The need to humanise the ICU

2019 14 Mar

Susan East, a patient speaker at the ATS 2017 International Conference in Washington D.C. and a three times ARDS survivor shares her experience about her stay in the ICU.   I am Susan East, a three times ARDS survivor.   July 3, 2008, I had ARDS! I went to my primary physician on June 30, 2008 with symptoms of a sinus infection. He diagnosed... Read more

ICU Management

Management of obese patients with ARDS

2019 12 Mar

At least one fifth of all patients admitted to the ICU are obese, and these patients are at risk of developing lung de-recruitment and then atelectasis. Moreover, the incidence of acute respiratory distress syndrome (ARDS) is increased in obese patients.   A major challenge of the critical care management of obese patients is successful... Read more

ICU Management

New findings don't support PES-guided PEEP titration in ARDS

2019 12 Mar

Adjusting positive end-expiratory pressure (PEEP) to offset pleural pressure might attenuate lung injury and improve patient outcomes in acute respiratory distress syndrome (ARDS). Researchers conducted a multicentre randomised clinical trial to determine whether PEEP titration guided by oesophageal pressure (PES), an estimate of pleural pressure,... Read more

ICU Management

Declining rate of ARDS-related mortality

2019 05 Mar

There have been multiple advances in the management of acute respiratory distress syndrome (ARDS), but the temporal trends in ARDS-related mortality are not well known. Conservative fluid management strategy for ARDS, in particular, has been extensively studied and is increasingly being used in clinical practice. However, it is largely unknown whether... Read more

ICU Management

Effects of spontaneous breathing during ventilation in ARDS

2019 23 Jan

Previous studies have suggested that the effects of spontaneous breathing during mechanical ventilation in acute respiratory distress syndrome (ARDS) may depend on ARDS etiology and severity, with possible beneficial effects in mild to moderate ARDS and harmful effects in severe ARDS. However, a new analysis did not find an association between ARDS... Read more

ICU Management

Phenotyping: need to identify subgroups of ARDS patients

2018 11 Dec

The consensus definitions of acute respiratory distress syndrome (ARDS) mainly rely on feasible clinical criteria, which help to group patients together for inclusion in clinical trials and for clinical management. This generates clinical and biological differences in observable patient characteristics. These differences could be used to group ARDS... Read more

ICU Management

Are 'sniffer systems' effective in detecting ARDS?

2018 11 Dec

Acute respiratory distress syndrome (ARDS) results in substantial mortality but remains underdiagnosed in clinical practice. For this reason, automated “sniffer” systems that analyse electronic records have been developed to assist clinicians with ARDS diagnosis. However, a new systematic review found that these sniffer tools had moderate to high predictive... Read more

ICU Management

Closer monitoring needed for patients with 'mild' ARDS

2018 04 Dec

If you landed here from ICU Highlights e-newsletter you may be looking for New protocol for respiratory infectious disease diagnosis in ICU. Hospital mortality in acute respiratory distress syndrome (ARDS) is approximately 40 percent, but mortality and trajectory in “mild” ARDS – classified only since 2012 – are unknown. A new study finds that... Read more

ICU Management

Chronic high alcohol consumption increases ARDS risk

2018 18 Jul

A new systematic review and meta-analysis shows that chronic high alcohol consumption significantly increases the risk of acute respiratory distress syndrome (ARDS). This finding suggests that patients admitted to hospital should be screened for chronic alcohol use, according to researchers at the University of Nottingham's UK Centre for Tobacco... Read more