Acute Respiratory Distress Syndrome (ARDS) Basics - Diagnose, Manage, Trials | Clinical Medicine

Описание: Acute Respiratory Distress Syndrome (ARDS) affects critically ill patients and has a very high mortality rate. The management of ARDS is critical with a number of landmark trials to help guide that management.

We talk about the Berlin Criteria used to diagnose ARDS including how to gauge ARDS severity. We then dive into the general management approach including tidal volume, plateau pressures, respiratory rate, oxygen saturation goals, pH goals, and more.

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Finally, we dive into the different landmark trials as a way to understand the management of ARDS. This includes the ALVEOLI Trial on low versus high PEEP, PROSEVA Trial on proning, ACURASYS and ROSE Trials on neuromuscular blockage (paralysis), ARDS Network Trials on tidal volumes and plateau pressures, as well as fluid strategies, and the more recent DEXA-ARDS Trial on steroids for ARDS. All studies linked at the bottom.

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DISCLAIMER THIS VIDEO DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

#medicaleducation #physiology #teaching #ARDS

ARDS Net Trial: https://www.nejm.org/doi/full/10.1056...
ALVEOLI Trial: https://www.nejm.org/doi/full/10.1056...
ARDS NET Tables: http://www.ardsnet.org/files/ventilat...
PROSEVA Trial: https://www.nejm.org/doi/full/10.1056...
ACURASYS Trial: https://www.nejm.org/doi/full/10.1056...
ROSE Trial: https://www.nejm.org/doi/full/10.1056...
ARDS NET Trial: https://www.nejm.org/doi/full/10.1056...
DEXA ARDS Trial: https://www.thelancet.com/pdfs/journa...