Search Tag: ARDS

ICU Management

After 50 years, ARDS stuck in the past?

2017 14 Nov

The acute respiratory distress syndrome (ARDS) was first reported in 1967. Upon the occasion of its 50th birthday, ARDS is due for a midlife crisis, says Dr. Robert P. Dickson, of the Division of Pulmonary and Critical Care Medicine, University of Michigan Health System. "In our era of molecular medicine, ARDS seems a bit stuck in the past," he writes... Read more

ICU Management

Are lung recruitment manoeuvres beneficial to ARDS patients?

2017 01 Nov

Previous research suggests that lung recruitment manoeuvres (LRMs) may prevent ventilator-induced lung injury and improve survival in patients with acute respiratory distress syndrome (ARDS). Now a new systematic review indicates that LRMs in combination with a higher positive end-expiratory pressure (PEEP) ventilation strategy reduce mortality. However,... Read more

ICU Management

LIVES 2017: Lack of severe hypoxaemia most common reason not to prone

2017 05 Oct

Despite proven benefits of proning patients with ARDS (Guérin et al. 2013), patients with ARDS are seldom put in prone position. A one-day prevalence study of prone positioning in ARDS patients, organised by the European Society of Intensive Care Medicine (ESICM) Acute Respiratory Failure Section, found low rates of proning, similar to those in found... Read more

ICU Management

Respiratory support in ARDS: an expert opinion

2017 19 Sep

Acute respiratory distress syndrome (ARDS) is a common condition in intensive care unit patients and remains a major concern, with mortality rates of around 30-45% and considerable long-term morbidity. In an opinion document published in the journal Critical Care, international experts review the available clinical evidence related to ventilator support... Read more

ICU Management

Clinical Trials in ARDS - Challenges and Opportunities

2017 07 Jun

A number of supportive therapies have reduced mortality in acute respiratory distress syndrome (ARDS), including lung-protective mechanical ventilation, neuromuscular blockade, and prone positioning. Fluid-conservative therapy has also increased ventilator-free days in patients with ARDS. However, the lack of success of pharmacological therapies for... Read more

ICU Management

Volume 17 - Issue 2, 2017

2017 28 May

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ICU Management

From Independent Attorney to Critically Ill Patient

2017 28 May

How Acute Respiratory Distress Syndrome Changed My Life in a Split SecondLife changed forever when Eileen Rubin was hospitalised with ARDS. After a slow recovery it was time to give something back, and Eileen went on to co-found the ARDS Foundation.   “I can’t breathe. I think I’m dying.” Those were the words I gasped to my mother less than two days... Read more

ICU Management

ARDS: Treat High-volume, Lower Mortality

2017 22 May

Analysis of data from the large French CUB-REA database indicates that mortality from acute respiratory distress syndrome (ARDS) was lower in high-volume ICUs than low and moderate volume ICUs. Notably, between 2000 and 2014, among 35 ICUs in the CUB-REA registry, ICU mortality decreased despite an increase in ARDS severity. The findings were presented... Read more

ICU Management

Economic Cost to Surviving ARDS, New Study

2017 28 Apr

Research published today in the American Journal of Respiratory and Critical Care Medicine sheds light on the economic toll on survivors of acute respiratory distress syndrome. Nearly fifty percent of survivors who worked before they were ill were not working after a year, and lost nearly two-thirds of their annual income. The researchers estimated... Read more

ICU Management

2017 18 Apr

What would you single out as a career highlight?Combining my loves of medicine and art to create a colouring book about the brain, entitled 'A Journey Through the Brain'. This was a collaboration with the very creative and intelligent Prof David Cotter and Prof Mary Cannon at the Department of Psychiatry in RCSI.If you had not chosen this career path... Read more