Early Treatment of Severe Acute Respiratory Distress Syndrome

被引：31

作者：

Przybysz, Thomas M. ^{[1
]}

Heffner, Alan C. ^{[1
,2
]}

机构：

[1] Carolinas Med Ctr, Dept Internal Med, Div Crit Care Med, Charlotte, NC 28203 USA

[2] Univ N Carolina, Dept Emergency Med, Carolinas Med Ctr, Med ICU, Charlotte, NC 28203 USA

来源：

EMERGENCY MEDICINE CLINICS OF NORTH AMERICA | 2016年 / 34卷 / 01期

关键词：

Acute respiratory distress syndrome; Acute respiratory failure; Hypoxia; Hypoxemia; Severe ARDS; ACUTE LUNG INJURY; CARDIOGENIC PULMONARY-EDEMA; HIGH-FREQUENCY OSCILLATION; END-EXPIRATORY PRESSURE; RECRUITMENT MANEUVERS; NATRIURETIC PEPTIDE; MORTALITY; VENTILATION; PERMEABILITY; SEPSIS;

D O I：

10.1016/j.emc.2015.08.001

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Acute respiratory distress syndrome (ARDS) is defined by acute diffuse inflammatory lung injury invoked by a variety of systemic or pulmonary insults. Despite medical progress in management, mortality remains 27% to 45%. Patients with ARDS should be managed with low tidal volume ventilation. Permissive hypercapnea is well tolerated. Conservative fluid strategy can reduce ventilator and hospital days in patients without shock. Prone positioning and neuromuscular blockers reduce mortality in some patients. Early management of ARDS is relevant to emergency medicine. Identifying ARDS patients who should be transferred to an extracorporeal membrane oxygenation center is an important task for emergency providers.

引用

页码：1 / +

页数：15

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