Critical Care Self-Study Resources-Acute Respiratory Distress Syndrome

Video Transcription

Video Summary

In this video, the speaker discusses acute respiratory distress syndrome (ARDS) and its management strategies. The speaker reviews the Berlin definition of ARDS, which includes acute-onset bilateral opacities on imaging within one week of a known clinical insult. The risk factors for developing ARDS are also discussed, including pneumonia, sepsis, trauma, and transfusions. The key ventilator strategies for managing ARDS are low tidal volume ventilation, with peak inspiratory pressures kept below 30 cmH2O, and the use of positive end-expiratory pressure (PEEP) to recruit alveoli. The speaker emphasizes the importance of adhering to lung protective ventilation strategies to prevent further lung injury. Other management strategies discussed include prone positioning of patients for at least 16 hours, the use of corticosteroids in certain cases such as COVID-19 and community-acquired pneumonia, and a conservative fluid strategy to achieve negative fluid balance. The use of extracorporeal membrane oxygenation (ECMO) as a rescue therapy for severe ARDS is also touched upon, with the speaker noting the debate surrounding its use. Overall, the speaker emphasizes the importance of early recognition and management of ARDS to improve outcomes in patients.

Meta Tag

Asset Type Video

Curriculum Category Pulmonary Disease in Critical Care

Curriculum Subcategory Respiratory failure

Faculty Jason T. Poston, MD

Keywords

acute respiratory distress syndrome

ARDS

management strategies

Berlin definition

ventilator strategies

lung protective ventilation

prone positioning

corticosteroids

extracorporeal membrane oxygenation