Search Tag: ARDS

ICU Management

Managing ARDS in traumatic brain injury

2018 15 Jan

Traumatic brain injury (TBI) patients frequently suffer from lung complications and acute respiratory distress syndrome (ARDS), which is associated with poor clinical outcomes. However, there are inadequate data addressing the safety or efficacy of ventilator strategies used in ARDS in adult patients with TBI, says an article published in Journal of... Read more

ICU Management

Making mechanical ventilation safe for ARDS

2018 08 Jan

The acute respiratory distress (ARDS) lung is usually characterised by a high degree of inhomogeneity. Indeed, the same lung may show a wide spectrum of aeration alterations, ranging from completely gasless regions, up to hyperinflated areas, explain Luciano Gattinoni, Tommaso Tonetti and Michael Quintel in an article published in the journal Critical... Read more

ICU Management

Can we improve the reliability of ARDS diagnosis?

2018 08 Jan

Failure to reliably diagnose ARDS, or acute respiratory distress syndrome, could lead to underrecognition and undertreatment in clinical practice. New research shows the reliability of the Berlin ARDS definition is "moderate," driven primarily by differences in chest imaging interpretation. The study is in press in the journal CHEST.The 2012 revision... Read more

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