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Acute respiratory distress syndrome carre

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Dang Thanh Tuan
Dang Thanh Tuan

This document discusses acute respiratory distress syndrome (ARDS). It defines ARDS as severe acute lung injury involving diffuse alveolar damage and increased microvascular permeability. It then covers the criteria for diagnosing ARDS, mechanisms of lung injury in ARDS, common direct and indirect causes of ARDS, stages of ARDS, predictors of outcome, findings from the ARDS Network study on low tidal volume ventilation, and treatment strategies for ARDS including ventilator settings and alternative strategies when initial measures fail.

Health & Medicine
1 of 22
ACUTE RESPIRATORY DISTRESS SYNDROME Lyonel Carre PGY2 SICU conf 10/02/06
ARDS Definition ,[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Criteria ,[object Object],[object Object],[object Object],[object Object]
ARDS ,[object Object]
ARDS mechanism of lung injury ,[object Object],[object Object],[object Object],[object Object]
 
ARDS causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stages of ARDS ,[object Object],[object Object],[object Object],[object Object]
ARDS exudative and fibrotic phases
Predictors of outcome ,[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS network study ,[object Object],[object Object],[object Object],[object Object]
ARDS Network Study   6ml/kg 12m/kg PaCO 2 43 ± 12 36 ±9 Respiratory rate 30 ± 7 17 ± 7 PaO 2 /F /FIO 2 160 ± 68 177 ± 81 Plateau pressure 26 ± 7 34 ± 9 PEEP 9.2 ± 3.6 8.6 ± 4.2
ARDSnet protocol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDSnet How to select PEEP ,[object Object],[object Object],FIO 2 PEEP 20-24 18 16 14 14 14 12 10 10 10 8 8 5 5 1.0 0.9 0.9 0.9 0.8 0.7 0.7 0.7 0.6 0.5 0.5 0.4 0.4 0.3
ARDSNet Ventilator protocol
ARDS Ventilator setting ,[object Object],[object Object],[object Object],[object Object],[object Object]
Permissive Hypercapnia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HISTORY OF ALTERNATIVE VENTILATORY STRATEGIES FOR ACUTE LUNG INJURY AND THE ACUTE RESPIRATORY DISTRESS SYNDROME.
ARDS Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
When all else fails.. ,[object Object],[object Object],[object Object],[object Object]
ARDSnet and Long-term outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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