Ards guidelines john

ARDS Guidelines Dr. George John, Critical Care, Christian Medical College, Vellore

Causative Factors in ARDS PRIMARY INJURY HOST RESPONSE CONSEQUENCES OF THERAPY

SPECTRUM OF LUNG “INJURY” Cardiogenic pulmonary oedema ALI ARDS Altered Starling’s Forces P/F RATIO 200 - 300 P/F RATIO < 200

Pulmonary Changes ,[object Object],[object Object],[object Object],[object Object],[object Object]

Guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object]

Oxygenation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Pressure Profile Peak Pressure Plateau Pressure Mean Pressure PEEP

Ventilation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Position “PRONING” ,[object Object],[object Object]

Fluid Management Liberal versus Conservative ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cardiovascular ,[object Object],[object Object],[object Object],[object Object]

Other Modalities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

“ Imitators” ,[object Object],[object Object],[object Object],[object Object],[object Object]

Suspecting “ Imitators” ,[object Object],[object Object]

Possible Approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

References - 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

References - 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ards guidelines john

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