Update on management of acute respiratory distress syndrome

Acute respiratory distress syndrome (ARDS) is a frequent and life-threatening condition in intensive care units (ICUs). Management of ARDS remains challenging despite years of research. Morbidity and mortality are not only caused by the syndrome itself but can also be the result of ventilator-induce...

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Bibliographic Details
Published in:AIMS medical science 2018-01, Vol.5 (2), p.145-161
Main Authors: Fong, Ka-man, Au, Shek-yin, Lily Chan, Ka-lee, George Ng, Wing-yiu
Format: Article
Language:English
Subjects:
acute respiratory distress syndrome
ECMO
high flow nasal cannula
lung protective strategies
mechanical ventilation
neuromuscular blockade
prone ventilation
respiratory failure
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Summary:Acute respiratory distress syndrome (ARDS) is a frequent and life-threatening condition in intensive care units (ICUs). Management of ARDS remains challenging despite years of research. Morbidity and mortality are not only caused by the syndrome itself but can also be the result of ventilator-induced lung injury. In this article, an update on ARDS management including ventilator strategies, rescue therapies, pharmacological treatments, ICU supportive care, and rehabilitation is proposed. While lung protective ventilation remains the standard option for patients with ARDS, neuromuscular blockade and prone positioning are gaining support after successful trials. Helmet non-invasive ventilation and high-flow nasal cannula might be useful for mild-to-moderate ARDS. Extracorporeal membrane oxygenation and carbon dioxide removal are not recommended in standard practice although they might be useful in severe ARDS.
ISSN:2375-1576
DOI:10.3934/medsci.2018.2.145