Recent Advances in the Management of the Acute Respiratory Distress Syndrome

被引：23
作者：
Hager, David N. [1 ]
机构：
[1] Johns Hopkins Univ, Baltimore, MD 21287 USA
来源：
CLINICS IN CHEST MEDICINE | 2015年 / 36卷 / 03期
关键词：
ARDS; ALI; Epidemiology; Advances; Management; PEEP; Driving pressure; Mechanical ventilation; ACUTE LUNG INJURY; FREQUENCY OSCILLATORY VENTILATION; INHALED NITRIC-OXIDE; END-EXPIRATORY PRESSURE; EXTRACORPOREAL MEMBRANE-OXYGENATION; NEUROMUSCULAR BLOCKING-AGENTS; HIGH-DOSE METHYLPREDNISOLONE; INTENSIVE-CARE-UNIT; MECHANICAL VENTILATION; CLINICAL-TRIAL;
D O I：
10.1016/j.ccm.2015.05.002
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
Advances in management of the acute respiratory distress syndrome (ARDS) include the use of volume and pressure-limited ventilation and a fluid conservative strategy. Despite the extensive study of positive end expiratory pressure, consensus regarding the best approach to its application is lacking. The use of neuromuscular blocking agents and prone positioning in the setting of refractory hypoxemia is supported by the outcomes of recent studies. Alternate modes of ventilation remain unproven. A focus on ARDS risk factor reduction and the development of tools predicting progression to ARDS have the potential to further reduce its incidence.
引用
收藏
页码：481 / +
页数：18
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