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Acute respiratory distress syndrome carre

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Dang Thanh Tuan
Dang Thanh Tuan
Santé & Médecine
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ACUTE RESPIRATORY DISTRESS SYNDROME Lyonel Carre PGY2 SICU conf 10/02/06
ARDS Definition ,[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Criteria ,[object Object],[object Object],[object Object],[object Object]
ARDS ,[object Object]
ARDS mechanism of lung injury ,[object Object],[object Object],[object Object],[object Object]
 
ARDS causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stages of ARDS ,[object Object],[object Object],[object Object],[object Object]
ARDS exudative and fibrotic phases
Predictors of outcome ,[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS network study ,[object Object],[object Object],[object Object],[object Object]
ARDS Network Study   6ml/kg 12m/kg PaCO 2 43 ± 12 36 ±9 Respiratory rate 30 ± 7 17 ± 7 PaO 2 /F /FIO 2 160 ± 68 177 ± 81 Plateau pressure 26 ± 7 34 ± 9 PEEP 9.2 ± 3.6 8.6 ± 4.2
ARDSnet protocol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDSnet How to select PEEP ,[object Object],[object Object],FIO 2 PEEP 20-24 18 16 14 14 14 12 10 10 10 8 8 5 5 1.0 0.9 0.9 0.9 0.8 0.7 0.7 0.7 0.6 0.5 0.5 0.4 0.4 0.3
ARDSNet Ventilator protocol
ARDS Ventilator setting ,[object Object],[object Object],[object Object],[object Object],[object Object]
Permissive Hypercapnia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HISTORY OF ALTERNATIVE VENTILATORY STRATEGIES FOR ACUTE LUNG INJURY AND THE ACUTE RESPIRATORY DISTRESS SYNDROME.
ARDS Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
When all else fails.. ,[object Object],[object Object],[object Object],[object Object]
ARDSnet and Long-term outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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