acute respiratory distress syndrome ards

... Heat stroke Peritonitis Multiple blood transfusions 08/12/14 LBS 12 Clinical manifestations • Acute respiratory failure – Change in Personality, disorientation, dec LOC – Initial Dyspnea w/ Hyperventilation ... CXR • Diffuse, bilateral infiltrates • Laboratory – ABGs • Hypoxemia • Respiratory alkalosis 08/12/14 LBS 15 Phases of ARDS • Phase I – Client exhibits dyspnea and tachypnea • Support client ... Diastolic (PAD) Pressure • Nutrition: ARDS increases nutritional requirements by 1.5 to times 08/12/14 LBS 24 Nursing Management • Psychosocial Support • Complications of ARDS: Heart failure Acidosis...

Ngày tải lên: 12/08/2014, 20:30

... failure/pulmonary edema ALI versus ARDS Onset PaO2/FIO2 CXR Cause ALI Acute ≤ 300 diffuse infiltrates No LA HTN PAWP ≤ 18* * Flash pulmonary edema; LV dysfunction in ARDS ARDS Acute ≤ 200 diffuse infiltrates ... Biotrauma The continuum of ARDS V/Q mismatch ALI shunt ARDS inflammation VALI VILI fibrosis & alveolar destruction VASI ARDS histopathology Typical histological findings of ARDS include alveolar inflammation, ... = 1.0, PEEP = 15 cm H2O, SpO2 = 85% What is ARDS?    Definition Clinical criteria for diagnosis pathophysiology Clinical diagnostic criteria for ARDS    Diffuse bilateral infiltrates (>...

Ngày tải lên: 28/10/2016, 20:23

... oxy hoá máu thấp Xem xét cho thở nitric oxide II.2.2 Phương pháp thông khí theo ARDSnet: Mục tiêu thông khí theo ARDSnet: thông khí kiểm soát thể tích với Vt thấp, PEEP theo nhu cầu FiO2 BỆNH ... nang tối đa BỆNH VIỆN PHẠM NGỌC THẠCH Phác đồ điều trị BV.Phạm Ngọc Thạch + Phương pháp thông khí ARDSnet: thông khí kiểm soát thể tích với Vt thấp (theo dõi P plateau) cài PEEP theo nhu cầu FiO2 ... kiểu thở hữu ích Thường phối hợp an thần ± giãn (tránh chống máy) Phác đồ thông khí học cho BN ARDS theo phương pháp phổi mở CMV (A/C), PCV để đạt Vt: 4-8mL/kg Đặt Ti để tránh auto-PEEP; F=20l/p,...

Ngày tải lên: 12/04/2016, 18:59

... PHỔI CẤP TÍNH (ARDS) CÓ THỂ PHÒNG NGỪA KHÔNG ? Không Rối loạn lâm sàng gây nên ARDS phải phòng ngừa 10/ LIỆU PHÁP NÀO HIỆN CÓ ĐỂ ĐIỀU TRỊ ARDS ?  Hiện trị liệu đặc hiệu hiệu ARDS  Nhiều tác ... TRONG ARDS ? Steroids rõ ràng không ngăn cản phát triển ARDS sử dụng bệnh nhân có yếu tố nguy không cải thiện tỷ lệ tử vong nơi bệnh nhân ARDS giai đoạn đầu.Việc sử dụng steroids để điều trị ARDS ... (sepsis, choáng, viêm tụy tạng ) 6/ TẠI SAO NHỮNG BỆNH NHÂN VỚI ARDS BỊ CHẾT ?  10% tử vong bệnh nhân bị ARDS suy hô hấp giảm oxy mô (hypoxic respiratory failure)  hầu hết tử vong xảy vòng 72 chấn...

Ngày tải lên: 26/07/2014, 19:20

... Within a few hours, her clinical condition deteriorated and the patient developed Acute Respiratory Distress Syndrome (ARDS) , which required immediate admission to the intensive care unit (ICU) Acceptable ... neutrophil count; CT, computed tomography; WBC, leukocyte count; PLT, platelet count; ARDS, acute respiratory distress syndrome; ICU, intensive care unit; PEEP, positive end expiratory pressure; NOi, ... strategy; (C) before intensive care unit discharge showing a complete resolution of acute respiratory distress syndrome internal jugular vein The ECMO circuit consisted of a polymethylpentene membrane...

Ngày tải lên: 11/08/2014, 17:21

... distribution of BOOP and small sample size The differential diagnosis includes Acute Interstitial Pneumonitis and respiratory distress syndrome both of which may be associated with pneumonia or BOOP [9], ... with adult respiratory distress syndrome Respir Med 1998, 92(6):884-6 Patel SR, Karmpaliotis D, Ayas NT, Mark EJ, Wain J, Thompson BT, Malhotra A: The role of open-lung biopsy in ARDS Chest 2004, ... considering BOOP in the differential diagnosis of culture-negative respiratory failure in previously healthy patients The 'Air Leak Syndrome' type of BOOP is associated with persisting broncho-pleural...

Ngày tải lên: 11/08/2014, 23:21

... reactions in the early phase of acute respiratory distress syndrome Crit Care Med 1999, 27:304-312 Ware LB, Matthay MA: Medical progress: the acute respiratory distress syndrome N Engl J Med 2000, ... abbreviations ALI: acute lung injury; ANOVA: analysis of variance; ARDS: acute respiratory distress syndrome; AUC: area under the curve; BALF: bronchoalveolar lavage Kondo et al Respiratory Research ... Alveolar fluid clearance is impaired in the majority of patients with acute lung injury and the acute respiratory distress syndrome Am J Respir Crit Care Med 2001, 163(6):1376-1383 Kawanami O,...

Ngày tải lên: 12/08/2014, 13:22

... MA: The Acute Respiratory Distress Syndrome New Engl J Med 2000, 342:1334-1349 Gattinoni L, Chiumello D, Cressoni M, Valenza F: Pulmonary computed tomography and adult respiratory distress syndrome ... surfactant system (i.e infiltrating inflammatory cells), or to a combination of these ARDS = acute respiratory distress syndrome k21 and k12 = disaturated-phosphatidylcholine inter-conversion rate parameters, ... 27:1699-1717 Haitsma JJ, Papadakos PJ, Lachmann B: Surfactant therapy for acute lung injury /acute respiratory distress syndrome Curr Opin Crit Care 2004, 10:18-22 Panda AK, Nag K, Harbottle RR,...

Ngày tải lên: 12/08/2014, 15:20

... volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome The Acute Respiratory Distress Syndrome Network N Engl J Med 2000, 342:1301-1308 ... thirty-day mortality in the Acute Respiratory Distress Syndrome (ARDS) in an adult ICU Anaesth Intensive Care 2004, 32:317-329 Ware LB, Matthay MA: The acute respiratory distress syndrome N Engl J Med ... in the course of inflammatory lung diseases such as the Acute Respiratory Distress Syndrome (ARDS) Indeed, in clinical studies focusing on ARDS [3-6] and, more recently, on severe pneumonia [6],...

Ngày tải lên: 12/08/2014, 15:21

... bronchopneumonia; LISS = lung injury severity score; SAPS = simplified acute physiologic score; ARDS = acute respiratory distress syndrome; COPD = chronic obstructive pulmonary disease; nd = not determined ... oxygenation in patients with adult respiratory distress syndrome Intensive Care Med 1993, 19:443-449 23 24 25 26 Puybasset L, Rouby JJ, Mourgeon E: Inhaled nitric oxide in acute respiratory failure: dose–response ... oxide in patients with acute respiratory distress syndrome Anesth Analg 1996, 82:574-581 Lundin S, Westfelt UN, Stenqvist O: Response to nitric oxide inhalation in early acute lung injury Intensive...

Ngày tải lên: 12/08/2014, 18:20

... rapamycin; PBS = phosphate-buffered saline; PI 3-kinase = phosphatidylinositol 3-kinase; RDS = respiratory distress syndrome; SD = standard deviation of the mean; SE = standard error of the mean; SP = ... Neff RK, Hubbell JP, Taeusch HW, Avery ME: Association between maternal diabetes and the respiratory- distress syndrome in the newborn N Engl J Med 1976, 294:357-360 Weaver TE, Whitsett JA: Function ... × 106 cpm in the presence of 500 units of RNasin) in duplicate for an additional 60 hours Afterwards, the hybridized membranes were washed twice in 0.2 X SSC with 0.1% SDS at 55°C for hour, once...

Ngày tải lên: 12/08/2014, 18:20

... molecules and their inhibitors in ARDS or at risk for ARDS and their value as predictive factors Abbreviations ALI = acute lung injury; ARDS = acute respiratory distress syndrome; BALF = bronchoalveolar ... cytokines and adhesion molecules in at risk patients who developed or did not develop acute respiratory distress syndrome (groups B + C) BALF Serum Survivors (n = 27) IL-1 TNF-α sICAM-1 sVCAM Non-survivors ... patients with ARDS, a prominent role for interleukin Am J Respir Crit Care Med 1996, 153:1850-1856 Rinaldo JE, Christman JW: Mechanisms and mediators of the adult respiratory distress syndrome Clin...

Ngày tải lên: 12/08/2014, 18:20

... inhalation on pulmonary serial vascular resistances in ARDS Am J Respir Crit Care Med 1996, 154:1375–1381 Hansen-Flaschen JH: Acute respiratory distress syndrome Principles and Practice of Medical Intensive ... 154:1351–1356 Murray JF, Matthay MA, Luce JM, Flick MR: An expanded definition of the acute respiratory distress syndrome Am Rev Respir Dis 1988, 138:720–723 [Erratum, Am Rev Respir Dis 1989, 139:1065] ... Rossaint R, Falke KJ, López F, Slama K, Pison U, Zapol W: Inhaled nitric oxide for the acute respiratory distress syndrome N Engl J Med 1993, 328:399–405 Dellinger RP, Zimmerman JL, Hyers TM, Taylor...

Ngày tải lên: 12/08/2014, 18:21

... benefit the most seriously ill subset of patients with acute respiratory distress syndrome Those in the quartile with the highest Simplified Acute Physiology Score II (SAPS II) have a marked mortality ... with acute respiratory failure N Engl J Med 2001, 345:568-573 The ARDS Network: Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute ... and the acute respiratory distress syndrome N Engl J Med 2000, 342:1301-1308 Douglas WW, Rehder K, Beynen FM, Sessler AD, Marsh HM: Improved oxygenation in patients with acute respiratory failure:...

Ngày tải lên: 12/08/2014, 18:21

... ventilator-treated patients with acute respiratory distress syndrome (ARDS) [1] Endotracheal suctioning (ETS), which is a common procedure in patients with acute lung injury (ALI) and ARDS, abolishes the ... with acute respiratory distress syndrome Crit Care Med 2000, 28:1210-1216 26 Pelosi P, Cadringher P, Bottino N, Panigada M, Carrieri F, Riva E, Lissoni A, Gattinoni L: Sigh in acute respiratory distress ... 159:1172-1178 22 Murray JF, Matthay MA, Luce JM, Flick MR: An expanded definition of the adult respiratory distress syndrome Am Rev Respir Dis 1988, 138:720-723 23 Berman IR, Stahl WM: Prevention of hypoxic...

Ngày tải lên: 12/08/2014, 19:21

... Takagaki TY, Carvalho CR: Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome N Engl J Med 1998, 338:347-354 R23 ... Intracranial haemorrhage 58 M 15 H, N Acute pancreatitis 50 M 23 R, H, L Multiple trauma 24 M 19 R, H Pneumonia 18 F 12 R Postoperative sepsis 28 F 21 R, H, N, L 10 Acute pancreatitis 74 M 23 R, H, ... enrolled 17 patients with ARDS admitted to the multidisciplinary intensive care unit at Istanbul University Hospital The criteria for eligibility were a diagnosis of ARDS (based on a consensus...

Ngày tải lên: 12/08/2014, 19:22

... volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome The Acute Respiratory Distress Syndrome Network N Engl J Med 2000, 342:1301-1308 ... Pattishall EN: Aerosolized surfactant in adults with sepsis-induced acute respiratory distress syndrome Exosurf Acute Respiratory Distress Syndrome Sepsis Study Group N Engl J Med 1996, 334:1417-1421 ... reactions in the early phase of acute respiratory distress syndrome Crit Care Med 1999, 27:304-312 Laufe MD, Simon RH, Flint A, Keller JB: Adult respiratory distress syndrome in neutropenic patients...

Ngày tải lên: 12/08/2014, 20:20

... Lower End-expiratory Lung Volume/Higher FiO2 Ventilation in Acute Lung Injury and Acute Respiratory Distress Syndrome) , performed by the ARDSNet investigators to study the use of higher PEEP levels, ... Brower RG, Hudson LD, Rubenfeld GD: Incidence of acute lung injury in the United States Crit Care Med 2003, 31: 1607-1611 The Acute Respiratory Distress Syndrome Network: Ventilation with lower tidal ... with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome N Engl J Med 2000, 342:1301-1308 Available online http://ccforum.com/content/8/3/145...

Ngày tải lên: 12/08/2014, 20:20

... The Acute Respiratory Distress Syndrome Network: Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome ... pulmonary and extrapulmonary acute respiratory distress syndrome Intensive Care Med 2001, 27:477-485 Gattinoni L, Pelosi P, Valenza F, Mascheroni D: Patient positioning in acute respiratory failure In ... D, Taccone P, Carlesso E: Physiologic rationale for ventilator setting in acute lung injury acute respiratory distress syndrome patients Crit Care Med 2003, 31:300s-304s Gattinoni L, Carlesso...

Ngày tải lên: 12/08/2014, 20:20

... December 2004 Vol No Reutershan and Ley volumes for acute lung injury and the acute respiratory distress syndrome The Acute Respiratory Distress Syndrome Network N Engl J Med 2000, 342:1301-1308 ... consequences of ventilator-induced lung injury in patients with ARDS Anesthesiology 2002, 97:1426-1433 45 The Acute Respiratory Distress Syndrome Network: Ventilation with lower tidal volumes as compared ... in a phase References Ware LB, Matthay MA: The acute respiratory distress syndrome N Engl J Med 2000, 342:1334-1349 Abraham E: Neutrophils and acute lung injury Crit Care Med 2003, Suppl:S195-S199...

Ngày tải lên: 12/08/2014, 20:20