Search Tag: ARDS

ICU Management

Noninvasive Ventilation in Early Stage Mild ARDS

2019 06 Sep

A recent study assessed the ability of early noninvasive ventilation (NIV) intervention to decrease the need for invasive ventilation in patients with mild forms of acute respiratory distress syndrome (ARDS). This method has already proved successful for acute respiratory failure patients but has not been tested in ARDS.   Use of NIV in ARDS patients... Read more

ICU Management

Lung Recruitment in Patients with Severe ARDS

2019 30 Aug

Acute Respiratory Distress Syndrome (ARDS) affects up to 10% of patients in the ICU. Typical symptoms of ARDS include an increase in lung weight and a reduction of aerated lung tissue. For the treatment of ARDS alveolar recruitment is key, however, this has not yet been shown to benefit severe ARDS cases. It has been suggested that lung recruitment... Read more

ICU Management

Personalised Mechanical Ventilation - The LIVE Study

2019 18 Aug

The effectiveness of personalised mechanical ventilation in patients with acute respiratory distress syndrome (ARDS) is still unclear. A new study was conducted in France to test whether a mechanical ventilation strategy personalised to an individual patient's lung morphology could improve survival compared with the standard of care.  For the... Read more

ICU Management

Understanding the Influenza Virus

2019 25 Jul

Diagnosis of the Influenza virus remains a challenge in the ICU. It is vital that knowledge of its pathophysiology and epidemiology is known so clinicians can make informed decisions regarding their patients’ health.   The Influenza virus is found most commonly to replicate in the respiratory tract in humans. This is mainly due to the haemagglutinin... Read more

ICU Management

European guidelines on the management of traumatic induced bleeding

2019 30 May

Interview with Rolf Rossaint, Prof. of Anaesthesiology, RWTH University Aachen, Germany. Rolf Rossaint is a Professor and Chairman of the Department of Anaesthesiology of the University Hospital at the RWTH University Aachen, Germany. Prof. Rossaint has published several high-quality studies dealing with the treatment of severe acute respiratory... Read more

ICU Management

Use of sedation and controlled paralysis in ICU patients with ARDS

2019 30 May

According to a National Institutes of Health sponsored clinical trial that was conducted at several North American hospitals and was led by clinician-scientists at the University of Pittsburgh and University of Colorado schools of medicine, reversibly paralysing and sedating hospitalised patients with severe breathing problems does not prove improve... Read more

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