Management of ARDS: From ventilation strategies to intelligent technical support – Connecting the dots
| Autor: | Johannes Bickenbach, Oliver Maaßen, Julian Kunze, Gernot Marx, Arne Peine, Sebastian Fritsch |
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| Rok vydání: | 2020 |
| Předmět: |
ARDS
medicine.medical_specialty Modern medicine business.industry 030208 emergency & critical care medicine Guideline Critical Care and Intensive Care Medicine medicine.disease 03 medical and health sciences High morbidity Scientific Description Technical support 0302 clinical medicine Anesthesiology and Pain Medicine Respiratory failure 030202 anesthesiology Health care medicine business Intensive care medicine |
| Zdroj: | Trends in Anaesthesia and Critical Care. 34:50-58 |
| ISSN: | 2210-8440 |
| Popis: | Since its first scientific description in modern medicine as “acute respiratory distress in adults” in 1967, the acute respiratory distress syndrome (ARDS) has been extensively studied, but physicians worldwide still face high morbidity and mortality. Due to the unspecific criteria for definition of ARDS and its predecessor-definitions, accompanied by broad changes in medical care over the last decades, it is still challenging to deduct reliable conclusions based on epidemiologic data. Nevertheless, science has made relevant progress in understanding pathophysiology, risk factors and in developing therapeutic strategies to improve patient-outcome. In this review, we will discuss the historical evolution of ARDS, main components of pathophysiology and associated treatment-strategies according to the German interdisciplinary guideline for respiratory failure. In view of current diagnostic approaches and evidence-based therapeutic measures, we will summarize and discuss recent epidemiologic data in order to identify weaknesses in disease-management and depict possible future solutions to improve healthcare in ARDS. |
| Databáze: | OpenAIRE |
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