Approaches and techniques to avoid development or progression of acute respiratory distress syndrome. Issue 1 (February 2018)

• Record Type: Journal Article
• Authors: Beloncle, François; Mercat, Alain
• Is Part Of: Current opinion in critical care. Volume 24:Issue 1(2018)
• Publication Date: 2018-02
• Subjects: Acute respiratory distress syndrome -- mechanical ventilation -- protective ventilation -- shock -- spontaneous breathing; Critical care medicine -- Periodicals; 616.028
• DOI: 10.1097/MCC.0000000000000477
• Languages: English
• ISSNs: 1070-5295

Abstract

Abstract : Purpose of review: Despite major improvement in ventilation strategies, hospital mortality and morbidity of the acute respiratory distress syndrome (ARDS) remain high. A lot of therapies have been shown to be ineffective for established ARDS. There is a growing interest in strategies aiming at avoiding development and progression of ARDS. Recent findings: Recent advances in this field have explored identification of patients at high-risk, nonspecific measures to limit the risks of inflammation, infection and fluid overload, prevention strategies of ventilator-induced lung injury and patient self-inflicted lung injury, and pharmacological treatments. Summary: There is potential for improvement in the management of patients admitted to intensive care unit to reduce ARDS incidence. Apart from nonspecific measures, prevention of ventilator-induced lung injury and patient self-inflicted lung injury are of major importance.