Acute Respiratory Distress Syndrome (ARDS) - Diagnosis, Management, And Major Trials To Date

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

Пікірлер: 22

  • @WhiteboardMedicine
    @WhiteboardMedicine Жыл бұрын

    Cardiac Output And The Fick Equation Explained: Deriving, Applying, And Understanding The FICK! kzread.info/dash/bejne/Yntpw8-zhbCadLw.html Oxygen Content And Oxygen Delivery - Concepts and Equations Explained Clearly kzread.info/dash/bejne/Z3iIxamFYb2sprw.html Intra-Aortic Balloon Pump (IABP): Placement, Waveforms, Hemodynamics, Indications, And Complications kzread.info/dash/bejne/d6iI2K-joNnKYLg.html Extracorporeal Membrane Oxygenation (ECMO): Principles, Types, Anatomy, Indications, Complications. kzread.info/dash/bejne/iYSal6tpc7PFqag.html Everything you need to know on Acid-Base Disorders: kzread.info/head/PLf5bMa9_tvRjj4NDR0eq6M6TqKiZQZChX Playlist containing all of our videos to date on topics in Critical Care Medicine: kzread.info/head/PLf5bMa9_tvRiZ85NNUGwk91YpqDWdIGvA 5 Minute ECG Videos: kzread.info/head/PLf5bMa9_tvRisUhHX_V5UdQjNk5hhkOuO Playlist containing all of our videos to date on topics in Cardiology: kzread.info/head/PLf5bMa9_tvRh2JoODgpLapjGDYXSW1q0h Playlist containing all of our COVID-19 educational videos to date: kzread.info/head/PLf5bMa9_tvRjDwCpaD06b6fMOt1FEBki1 Playlist with our Medical, Science, and Healthcare News videos: kzread.info/head/PLf5bMa9_tvRhsj4rBQzF7YOtboBoHL2u9 If you enjoy the content and feel inclined, here are some ways in which you can support us! Funds will go towards purchasing better equipment/software, dedicating more time to the channel, and continuing to strive towards taking this channel to the next level! PayPal: www.paypal.com/donate?hosted_button_id=UQN2JGSYSQJEG Buy Us A Coffee: A cool site where you can donate a few dollars to a Creator of your choosing as a tip! www.buymeacoffee.com/WBDR KZread Membership tab: It has a “Join” button at the top right corner of our Channel’s home page. We appreciate you! Become a WBDR Patreon Patron: Get exclusive perks, merchandise, and more! www.patreon.com/WBDR We love to get involved in the #FOAMed world through Twitter as well. Come check us out, we would love to hear from you! @WhiteBoardDoct1 twitter.com/WhiteBoardDoct1 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.

  • @oldschool8292
    @oldschool8292 Жыл бұрын

    Just a layman here, but I find many different areas of medicine interesting. Ty.

  • @old_grey_cat
    @old_grey_cat Жыл бұрын

    Non-medical but science literate viewer, found it interesting, and fit with what I had heard from CoVid reporting and a friend with a nasty viral pneumonia.

  • @WhiteboardMedicine

    @WhiteboardMedicine

    Жыл бұрын

    Love to hear that! Thanks for checking out the video and for commenting!

  • @areejal-khaleel9459
    @areejal-khaleel94595 ай бұрын

    Great EB review!

  • @WhiteboardMedicine

    @WhiteboardMedicine

    5 ай бұрын

    Thanks for checking out the video and for the kind words!

  • @davidmbeckmann
    @davidmbeckmann Жыл бұрын

    Our ICU guys went quick to APRV and heavy sedation during CoVid. It's not a physiologic breathing pattern and they felt for patient comfort, ( and easier doc control ), they should all be heavily sedated, so neuromuscular blockade, fentanyl, versed, propofol...they were given more steroid later in the epidemic, proning ( also works best fully sedated and takes no less than 4 nurses to turn them ), and did run them dry. Kept their Ph about 25 and Th about 12 seconds. Would gauge Pl by Pco2 and Tl at 0.6 sec. Tracheostomy at 2-3 weeks. I would guess mortality at > 80%. Thank God for Omicron.

  • @johnhaye3137
    @johnhaye3137 Жыл бұрын

    Great video, thank you!

  • @WhiteboardMedicine

    @WhiteboardMedicine

    Жыл бұрын

    We really appreciate the kind words!

  • @RabidTexan
    @RabidTexan Жыл бұрын

    Very interesting! Thank you for the video! :)

  • @WhiteboardMedicine

    @WhiteboardMedicine

    Жыл бұрын

    Our pleasure!! Thanks for checking it out and for commenting!

  • @sheryl3268
    @sheryl3268 Жыл бұрын

    Yes, interesting. With those results, steriods do seem promising as an ARD treatment, given the patient qualifies. Thanks for sharing that.

  • @nadinemullings5894
    @nadinemullings58946 ай бұрын

    Extremely helpful

  • @WhiteboardMedicine

    @WhiteboardMedicine

    6 ай бұрын

    Love to hear that. Thanks for checking it out!

  • @sakinahabdulbari6884
    @sakinahabdulbari6884 Жыл бұрын

    Thank you.

  • @WhiteboardMedicine

    @WhiteboardMedicine

    Жыл бұрын

    We appreciate you!

  • @arslanahmed7530
    @arslanahmed7530 Жыл бұрын

    excellent, excellent

  • @WhiteboardMedicine

    @WhiteboardMedicine

    Жыл бұрын

    Thank you, kindly!

  • @alemayehuabebe9704
    @alemayehuabebe9704 Жыл бұрын

    What about diuretics lasix

  • @dr.s.m.sureshbabu8699
    @dr.s.m.sureshbabu86992 ай бұрын

    Ibw vs pbw?

  • @WhiteboardMedicine

    @WhiteboardMedicine

    Ай бұрын

    Thanks for checking out the video and for commenting! We use IBW (ideal body weight) as that is the terminology used at our center. With that being said, PBW (predicted body weight) is perfectly reasonable verbiage to use as well. For all intents and purposes, these two terms are used interchangeably in this context and simply base “weight” off the patient’s height. Hope that helps!

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