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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American Institute of Mathematical Sciences
2018-03-01
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doaj-61b858545076454db50e7fe8e709c9a22020-11-25T01:26:05ZengAmerican Institute of Mathematical SciencesAIMS Medical Science2375-15762018-03-015214516110.3934/medsci.2018.2.145medsci-05-02-145Update on management of acute respiratory distress syndromeKa-man Fong0Shek-yin Au1Ka-lee Lily Chan2Wing-yiu George Ng3Intensive Care Unit, Queen Elizabeth Hospital, Hong KongIntensive Care Unit, Queen Elizabeth Hospital, Hong KongIntensive Care Unit, Queen Elizabeth Hospital, Hong KongIntensive Care Unit, Queen Elizabeth Hospital, Hong KongAcute 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.http://www.aimspress.com/medicalScience/article/1895/fulltext.htmlacute respiratory distress syndromerespiratory failurelung protective strategiesmechanical ventilationECMOprone ventilationneuromuscular blockadehigh flow nasal cannula |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ka-man Fong Shek-yin Au Ka-lee Lily Chan Wing-yiu George Ng |
spellingShingle |
Ka-man Fong Shek-yin Au Ka-lee Lily Chan Wing-yiu George Ng Update on management of acute respiratory distress syndrome AIMS Medical Science acute respiratory distress syndrome respiratory failure lung protective strategies mechanical ventilation ECMO prone ventilation neuromuscular blockade high flow nasal cannula |
author_facet |
Ka-man Fong Shek-yin Au Ka-lee Lily Chan Wing-yiu George Ng |
author_sort |
Ka-man Fong |
title |
Update on management of acute respiratory distress syndrome |
title_short |
Update on management of acute respiratory distress syndrome |
title_full |
Update on management of acute respiratory distress syndrome |
title_fullStr |
Update on management of acute respiratory distress syndrome |
title_full_unstemmed |
Update on management of acute respiratory distress syndrome |
title_sort |
update on management of acute respiratory distress syndrome |
publisher |
American Institute of Mathematical Sciences |
series |
AIMS Medical Science |
issn |
2375-1576 |
publishDate |
2018-03-01 |
description |
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. |
topic |
acute respiratory distress syndrome respiratory failure lung protective strategies mechanical ventilation ECMO prone ventilation neuromuscular blockade high flow nasal cannula |
url |
http://www.aimspress.com/medicalScience/article/1895/fulltext.html |
work_keys_str_mv |
AT kamanfong updateonmanagementofacuterespiratorydistresssyndrome AT shekyinau updateonmanagementofacuterespiratorydistresssyndrome AT kaleelilychan updateonmanagementofacuterespiratorydistresssyndrome AT wingyiugeorgeng updateonmanagementofacuterespiratorydistresssyndrome |
_version_ |
1725110854861455360 |