Network Five: Critical Care
Network Five Emergency Medicine Journal Club Episode 21 - Critical Care reviewing papers on cardiogenic shock, intravenous fluids in sepsis and lung protective ventilation strategies.
Tag ARDS
Ventilation: Acute Respiratory Distress Syndrome (ARDS)
Common oxygenation and ventilation complications associated with ARDS
COVID-19: Keeping the baby in the bath
Introduction to a series of posts titled "COVID-19: Keeping the baby in the bath", focusing on the need to build on existing knowledge in critical care and the appropriate testing of new therapies and innovations.
Is COVID-19 ARDS? What about lung compliance?
Part 3 of the "COVID-19: Keeping the baby in the bath" series discussing whether COVID-19 is part of acute respiratory distress syndrome (ARDS) and the importance of lung compliance.
Improving Oxygenation in ARDS
Refractory hypoxia, leading to dysoxia at the cellular level, can be difficult to manage in severe acute respiratory distress syndrome (ARDS)
Neuromuscular Blockade in ARDS
The use of neuromuscular blockade in acute respiratory distress syndrome (ARDS) is controversial. Renewed interest since the French ACURASYS trial in 2010
Lung Recruitment Manoeuvres in ARDS
Recruitment manoeuvres are transient increases in transpulmonary pressure designed to open up collapsed airless alveoli. Primarily used in severe acute respiratory distress syndrome (ARDS)
Acute Respiratory Distress Syndrome – ARDS
OVERVIEW DEFINITION The Berlin Definition (2013) SEVERITY ARDS Severity PaO2/FiO2* Mortality** Mild 200 – 300 27% Moderate 100 – 200 32% Severe < 100 45% *on PEEP 5+; **observed in cohort RISK FACTORS Direct Indirect PATHOPHYSIOLOGY Classical phases Complex interplay:…
Acute Respiratory Distress Syndrome Definitions
definitions of acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) have varied over time. ARDS was first described by Ashbaugh and Petty in 1967 in a case series of 12 ICU patients who shared the common features of unusually persistent tachypnea and hypoxemia accompanied by opacification on chest radiographs and poor lung compliance, despite different underlying causes
Ventilation Literature Summaries
Ventilation, summaries of key papers from the ventilation literature: NIV; ARDS; Tracheostomy; Weaning
ARDS Literature Summaries
Acute Respiratory Distress Syndrome (ARDS) Literature Summaries
Changes in ICU Mortality
Overall, ICU mortality continues to improve but there are reasons why mortality improvement is not faster