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Ards guidelines john

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Dang Thanh Tuan
Dang Thanh Tuan

The document provides guidelines for the treatment of Acute Respiratory Distress Syndrome (ARDS). It discusses factors that cause ARDS and the spectrum of lung injury. Treatment guidelines cover oxygenation, ventilation, positioning, fluid management, and other modalities. Oxygenation goals aim to optimize oxygen levels while minimizing pressure and volume. Ventilation aims for low tidal volumes and pressures. Prone positioning may reduce mortality but did not consistently improve outcomes in studies. Conservative fluid management improved some outcomes compared to liberal management with no increase in complications.

Health & Medicine
1 of 18
ARDS Guidelines Dr. George John, Critical Care, Christian Medical College, Vellore
Causative Factors in ARDS PRIMARY INJURY HOST RESPONSE CONSEQUENCES OF THERAPY
SPECTRUM OF LUNG “INJURY” Cardiogenic pulmonary oedema ALI ARDS Altered Starling’s Forces P/F RATIO 200 - 300 P/F RATIO < 200
Pulmonary Changes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object]
Oxygenation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Pressure Profile Peak Pressure Plateau Pressure Mean Pressure PEEP
Ventilation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Position “PRONING” ,[object Object],[object Object]
Fluid Management Liberal versus Conservative ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring ,[object Object]
Cardiovascular ,[object Object],[object Object],[object Object],[object Object]
Other Modalities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Imitators” ,[object Object],[object Object],[object Object],[object Object],[object Object]
Suspecting “ Imitators” ,[object Object],[object Object]
Possible Approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References - 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References - 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Ards guidelines john

  • 1. ARDS Guidelines Dr. George John, Critical Care, Christian Medical College, Vellore
  • 2. Causative Factors in ARDS PRIMARY INJURY HOST RESPONSE CONSEQUENCES OF THERAPY
  • 3. SPECTRUM OF LUNG “INJURY” Cardiogenic pulmonary oedema ALI ARDS Altered Starling’s Forces P/F RATIO 200 - 300 P/F RATIO < 200
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  • 7. The Pressure Profile Peak Pressure Plateau Pressure Mean Pressure PEEP
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