Search Tag: ARDS

ICU Management

Precision Therapies for Heterogeneous ARDS Patients

2021 20 Jul

ARDS is a heterogeneous syndrome rather than a distinct disease. It is this heterogeneity that often makes it difficult to study treatments for patients with ARDS. Literature on ARDS is rife with clinical trials that do not show any mortality benefit.   Recent evidence suggests different sub-phenotypes within the heterogeneous patient population.... Read more

ICU Management

Association of Higher vs Lower PEEP on Mortality

2021 19 Jul

Mechanical ventilation is a life-saving strategy for critically ill patients. However, it can promote and/or exacerbate lung injury through several mechanisms, including alveolar overdistension and repetitive opening and closing of the alveoli and small airways. Positive end-expiratory pressure (PEEP) has been employed to prevent end-expiratory alveolar... Read more

ICU Management

Selection Criteria for Lung Transplantation in COVID-19 Patients

2021 06 Apr

In May 2020, a team led by thoracic surgeon Konrad Hoetzenecker of the Department of Surgery of MedUni Vienna and Vienna General Hospital performed a lung transplant on a 44-year-old patient who had been seriously ill with COVID-19. She thus became the first patient in Europe to receive a lung transplant for this indication. The Vienna lung transplantation... Read more

ICU Management

Corticosteroid Treatment in ARDS

2021 30 Mar

Acute respiratory distress syndrome (ARDS) is a life-threatening condition that is characterised by bilateral pulmonary infiltrates on chest imaging and refractory hypoxaemia. ARDS is common in critically ill patients in ICUs and is associated with significant mortality. Findings from a recent study show that approximately 10% of ICU patients suffered... Read more

ICU Management

Volume 21 - Issue 1, 2021

2021 24 Feb

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ICU Management

How Should We Manage Sedation in Critically-Ill COVID-19 Patients?

2021 22 Feb

Clinical Practice Guidelines The Choosing Wisely top five guidelines published a few years ago by the Chest Association of Physicians, the American Thoracic Society, the Society of Critical Care Medicine, and the American Association of Critical Care Nurses state that mechanically ventilated patients should not be deeply sedated without a specific... Read more

ICU Management

Important Questions Answered

2021 22 Feb

During the question/answer session, Prof Vito Marco Ranieri discussed some important questions with Prof Salvatore Maurizio Maggiore and Prof Boris Jung regarding sedation regimen, respiratory muscle paralysis, sedation in COVID-19 patients specifically and how it is different from other regular ICU patients. Ranieri: What is your opinion... Read more

ICU Management

Prone Position in Awake, Non-Intubated Patients with ARDS: From Physiology to the Bedside

2021 22 Feb

Prone position (PP) in awake, non-intubated patients with respiratory failure is a physiology-based ventilatory strategy that improves oxygenation and may decrease the need for intubation and invasive mechanical ventilation (IMV). Introduction During the pandemic caused by the SARS-CoV-2 virus, which produces coronavirus disease... Read more

ICU Management

Optimising Patient Care During COVID-19: The Four Ps

2021 31 Jan

The COVID-19 pandemic has had a significant impact on ICUs around the world. Most healthcare systems were prepared to handle natural disasters or accidents, but as we have all witnessed, they were unprepared to handle the massive influx of patients during the COVID-19 crisis. Last year was quite a challenge for healthcare providers around the world,... Read more

ICU Management

Do We Need to Diagnose ARDS?

2020 19 Oct

Acute respiratory distress syndrome (ARDS) is the clinical expression of acute, non-haemodynamic lung oedema. It is typically diagnosed by hypoxaemia, and bilateral lung infiltrates in the absence of increased capillary hydrostatic pressure. ARDS represents nearly a quarter of the ICU patients who require mechanical ventilation. There is significant... Read more