Tweet In mechanically ventilated patients without ARDS at the time of endotracheal intubation, the majority of data favors lower tidal volume to reduce progression to ARDS. However, due to significant heterogeneity in the data, no definitive recommendations can be made. Further randomized controlled trials examining the role of lower tidal volumes in patients without ARDS, […]
Tag Archives: ARDS
Sepsis- recognition and treatment
Tweet Lecture given by Scott Weingart on sepsis and its recognition and treatment. Link Here
Noninvasive ventilation immediately after extubation improves weaning outcome after acute respiratory failure.
Tweet Noninvasive ventilation (NIV), as a weaning-facilitating strategy in predominantly chronic obstructive pulmonary disease (COPD) mechanically ventilated patients, is associated with reduced ventilator-associated pneumonia, total duration of mechanical ventilation, length of intensive care unit (ICU) and hospital stay, and mortality. However, this benefit after planned extubation in patients with acute respiratory failure of various etiologies […]
International evidence-based recommendations for point-of-care lung ultrasound
Tweet This document reflects the overall results of the first consensus conference on “point of care” ultrasound. Statements were discussed and elaborated by experts who published the vast majority of papers on clinical use of lung ultrasound in the last 20 years. Recommendations were produced to guide implementation, development and standardisation of lung ultrasound in all relevant settings. Link Here…
Choice of Fluid- John Myburgh Summary.
Tweet Fluid resuscitation in acute medicine: what is the current situation? Journal of internal medicine (Accepted Article) Professor John A Myburgh AO, is Director of the Division of Critical Care and Trauma at the George Institute for Global Health, Professor of Critical Care at the Faculty of Medicine, University of New South Wales and senior […]
Ultrasound in the septic patient – lets RUSH in!
Tweet The RUSH Protocol was first introduced in 2006 by Weingart SD et al, and later published in 2009. It was designed to be a rapid and easy to perform US protocol (link here
Advanced life support and mechanical ventilation
Tweet Is there a need for active ventilation during ALS? Could we go passive? Some discussion….here
High-Frequency Oscillation in Early Acute Respiratory Distress Syndrome
Tweet In conclusion, in adults with moderate-to-severe ARDS, the early application of HFOV targeting lung recruitment — as compared with a ventilation strategy that uses low tidal volume and high PEEP and that permits HFOV only in cases of refractory hypoxemia — does not reduce mortality and may be harmful…link here