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10.1007/s00134-020-06299-6 http://scihub22266oqcxt.onion/10.1007/s00134-020-06299-6 33156382!7646492!33156382     free     free     free Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Intensive+Care+Med 2020 ; 46 (12): 2157-2167 Nephropedia Template TP {{tp|p=33156382|t=2020. Current and evolving standards of care for patients with ARDS |pdf=|usr=}}{{33156382}} gab.com Text Current and evolving standards of care for patients with ARDS JO: Intensive Care Med http://www.kidney.de/pget.php?&tw=1&pmid=33156382 #FOAvip Care for patients with acute respiratory distress syndrome (ARDS) has changed considerably over the 50 years since its original description. Indeed, standards of care continue to evolve as does how this clinical entity is defined and how patients are grouped and treated in clinical practice. In this narrative review we discuss current standards - treatments that have a solid evidence base and are well established as targets for usual care - and also evolving standards - treatments that have promise and may become widely adopted in the future. We focus on three broad domains of ventilatory management, ventilation adjuncts, and pharmacotherapy. Current standards for ventilatory management include limitation of tidal volume and airway pressure and standard approaches to setting PEEP, while evolving standards might focus on limitation of driving pressure or mechanical power, individual titration of PEEP, and monitoring efforts during spontaneous breathing. Current standards in ventilation adjuncts include prone positioning in moderate-severe ARDS and veno-venous extracorporeal life support after prone positioning in patients with severe hypoxemia or who are difficult to ventilate. Pharmacotherapy current standards include corticosteroids for patients with ARDS due to COVID-19 and employing a conservative fluid strategy for patients not in shock; evolving standards may include steroids for ARDS not related to COVID-19, or specific biological agents being tested in appropriate sub-phenotypes of ARDS. While much progress has been made, certainly significant work remains to be done and we look forward to these future developments. Twit Text FOAVip Current and evolving standards of care for patients with ARDS ????Intensive Care Med http://www.kidney.de/pget.php?&tw=1&pmid=33156382 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33156382 #FOAvip English Wikipedia <ref>{{Cite pmid|33156382}}</ref> Current and evolving standards of care for patients with ARDS #MMPMID33156382 Menk M; Estenssoro E; Sahetya SK; Neto AS; Sinha P; Slutsky AS; Summers C; Yoshida T; Bein T; Ferguson ND Intensive Care Med 2020[Dec]; 46 (12): 2157-2167 PMID33156382show ga Care for patients with acute respiratory distress syndrome (ARDS) has changed considerably over the 50 years since its original description. Indeed, standards of care continue to evolve as does how this clinical entity is defined and how patients are grouped and treated in clinical practice. In this narrative review we discuss current standards - treatments that have a solid evidence base and are well established as targets for usual care - and also evolving standards - treatments that have promise and may become widely adopted in the future. We focus on three broad domains of ventilatory management, ventilation adjuncts, and pharmacotherapy. Current standards for ventilatory management include limitation of tidal volume and airway pressure and standard approaches to setting PEEP, while evolving standards might focus on limitation of driving pressure or mechanical power, individual titration of PEEP, and monitoring efforts during spontaneous breathing. Current standards in ventilation adjuncts include prone positioning in moderate-severe ARDS and veno-venous extracorporeal life support after prone positioning in patients with severe hypoxemia or who are difficult to ventilate. Pharmacotherapy current standards include corticosteroids for patients with ARDS due to COVID-19 and employing a conservative fluid strategy for patients not in shock; evolving standards may include steroids for ARDS not related to COVID-19, or specific biological agents being tested in appropriate sub-phenotypes of ARDS. While much progress has been made, certainly significant work remains to be done and we look forward to these future developments. |COVID-19/complications/physiopathology[MESH] |Fluid Therapy/methods/trends[MESH] |Humans[MESH] |Prone Position/physiology[MESH] |Respiratory Distress Syndrome/physiopathology/*therapy[MESH]Current and evolving standards of care for patients with ARDS (epmc).pdf DeepDyve Pubget Overpricing