Search Tag: acute respiratory distress syndrome

ICU Management

Study: Air pollution associated with ARDS hospitalisation in over 65s

2018 01 Jun

A comparison of hospital admissions of patients over 65 and air pollution in the USA has found an association between exposure to pollutants and admission for acute respiratory distress syndrome (ARDS). The study was presented at the annual meeting of the American Thoracic Society.   The researchers analysed data by zip code from nearly 30 million... Read more

ICU Management

ARDS reclassification - the debate continues

2018 15 May

A new analysis of data from patients enrolled in high-quality ARDSnet trials showed no difference between patients with moderate-severe and mild-moderate ARDS in terms of mortality, even though there were differences in rapid resolution of ARDS, ventilator-free days and ICU-free days. The research is published online in Annals of the American Thoracic... Read more

ICU Management

Volume 18 - Issue 1, 2018

2018 16 Mar

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ICU Management

CO2 in the critically ill

2018 16 Mar

CO 2 exerts potent effects on lung biology that could be clinically relevant in critically ill patients, in particular those with acute respiratory distress syndrome (ARDS). The impact of hypercapnia on outcome in these patients is yet to be determined. The physiological effects of hypercapnia are increasingly well understood, but the literature... Read more

ICU Management

ARDS, delirium and antipsychotic use reviewed

2018 21 Feb

Acute respiratory distress syndrome (ARDS) often requires prolonged and complicated hospital courses putting patients at risk for intensive care unit (ICU) delirium. Antipsychotics are prescribed to decrease the severity and duration of ICU delirium; however, these drugs are associated with many adverse effects including respiratory failure. "Given... 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

Driving pressure and hospital mortality in non-ARDS patients

2017 24 Oct

According to researchers in Canada, driving pressure was not associated with hospital mortality in a cohort of mechanically ventilated, critically ill patients without Acute Respiratory Distress Syndrome (ARDS), in whom compliance was also not associated with mortality. They say their findings published in the journal CHEST need to be replicated in... 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