Podcast 558:  Rapid ARDS Review

<p><strong>Contributor: Don Stader, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li><strong><span style="font-weight: 400;">Acute respiratory distress syndrome (ARDS) is a catch all term for when lung injury leads to fluid collection in the air spaces of the lungs </span></strong></li> </ul> <ul> <li><span style="font-weight: 400;">Ventilatory management in ARDS patients involves lower FiO2 and PEEP than other patients and relies on lung protective ventilation strategies to prevent barotrauma</span></li> </ul> <ul> <li><span style="font-weight: 400;">Proning these patients has also been utilized with the goal of matching V/Q, or getting good blood flow to areas of the lung which are well ventilated.</span></li> </ul> <p> </p> <p><strong>References</strong></p> <p>1<strong>.</strong> <a href= "http://www.nejm.org/doi/full/10.1056/NEJMoa032193"><span style= "font-weight: 400;">Higher versus Lower Positive End-Expiratory Pressures in Patients with the Acute Respiratory Distress Syndrome</span></a><span style="font-weight: 400;">. N Engl J Med 2004; 351:327-336. DOI: 10.1056/NEJMoa032193</span></p> <p><span style="font-weight: 400;">2. Howell MD, Davis AM. Management of ARDS in Adults.</span> <em><span style= "font-weight: 400;">JAMA.</span></em> <span style= "font-weight: 400;">2018;319(7):711–712. doi:10.1001/jama.2018.0307</span></p> <p><span style="font-weight: 400;">3. Scholten, E.L.</span> <em><span style="font-weight: 400;">et al</span></em><span style= "font-weight: 400;">.</span> <span style= "font-weight: 400;">Treatment of ARDS With Prone Positioning. Chest. 2017 Jan;151(1):215-224. doi: 10.1016/j.chest.2016.06.032. Epub 2016 Jul 8.</span></p> <p> </p> <p><em><span style="font-weight: 400;">Summarized by Jackson Roos, MS3 | Edited by Erik Verzemnieks, MD</span></em></p> <p><br /> <br /></p>