PPT-Prone Positioning in the Acute Respiratory Distress Syndrome

C Corey Hardin MD PhD April 23 2020 Introduction Hypoxemia and ARDS Physiology of prone positioning Benefit of prone ventilation in clinical trials Complications contraindications and duration. Case presentation. A 45-year-old man develops ARDS after sustaining multiple broken bones in an automobile accident. The man weighs 70 kg. Mechanical ventilation is initiated in the AC mode with the following settings: (PEEP), 10 cm H2O; (FiO2), 70%; respiration rate, 12/min. . By Dr. Gacheri Mutua. DEFINITION. Also known as Hyaline Membrane Disease. Is . a respiratory . disorder that affects newborns. More common in premature infants especially born . 6wks . or more before their due date. The Rational selection of . Rescue Methods. in 2015 . Ram E. Rajagopalan,. MBBS, AB (Int Med) AB (Crit Care). Head, Department of Critical Care Medicine. SUNDARAM MEDICAL FOUNDATION. Chennai. Pl. effusion. Case presentation. A 45-year-old man develops ARDS after sustaining multiple broken bones in an automobile accident. The man weighs 70 kg. Mechanical ventilation is initiated in the AC mode with the following settings: (PEEP), 10 cm H2O; (FiO2), 70%; respiration rate, 12/min. . By: Yazmin Realivasquez. Stephen Huang . Jose Torres. What is ARDS?. ARDS is a respiratory condition characterized by hypoxemia, and stiff lungs, without mechanical ventilation most patients would die. ARDS represents a response to many different insults/injuries and evolves through different phases: alveolar capillary damage to lung resolution to a fibro-proliferative phase. The pulmonary epithelial and endothelial cellular damage is characterized by inflammation, apoptosis, necrosis and increased alveolar-capillary permeability, which lead to the development of alveolar edema. . Work in Progress!. Please note that this slide deck was created as a study recruitment tool and should not be used without permission from Dr. Martha Curley.. These slides reflect our thinking as of . ACNP Boot Camp 2013. Stephanie Davidson, ACNP-BC. Objectives. Review the causes and differentials for ARDS. Briefly discuss the pathophysiology . Discuss the clinical manifestations of ARDS. Understand evidence based treatment options. By . Goh. . Kiam. . Seong. HTAR, . Klang. 2011. Plan. Introduction. Causes and Classification. Respiratory Distress Signs. Evaluation and Investigation. General Management. Introduction. Respiratory Distress in Newborn . Prone Therapy: Positioning the Patient for Improved Outcomes. Angela Rouse RN BSN CCDS. Arjo. . products have specific indications, contraindications, safety information and instructions for use. Please consult product labeling and instructions for use.. By. Dr Tahir Javed. Assistant Professor of Pediatrics,. King Edward Medical University . LAHORE. HISTORY. Ashbaugh: 1967. , . “. adult respiratory distress . syndrome. ” . American-European . Consensus Conference (AECC) . Defined as the impairment of the lung’s ability to maintain adequate oxygen and carbon dioxide homeostasis.. Respiratory Failure - Definition. PaO. 2. < 60 mm Hg. and/or. PaCO. 2. > 50 mm Hg. •Paralysis (GRADE 2A) . •Conservative fluid management (GRADE 2B) . •Bronchoscopy (GRADE 2C) . •Recruitment manoeuvres (GRADE 2C) . •Prone positioning for 16hrs (GRADE 2A. Consider tracking the Murray Score at all stages. . ARDS. Acute onset (<7 days). Bilateral opacities. “not fully explained by heart failure.”. Acute Respiratory Distress Syndrome. Moderate ARDS:. P/F 100-200. Mild ARDS: . P/F 201-300. Berlin Definition - 2012. April 2020. Objectives. Recognize the purpose and benefits of prone positioning. Identify the appropriate patient population and eligibility requirements for prone positioning. Understand the appropriate equipment needed and protocol/ procedures necessary to carry out awake prone positioning in the non-intubated patient.