Diagnosis and Management of Acute Respiratory Distress Syndrome (ARDS)
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- Опубликовано: 11 июн 2024
- Diagnosis of and treatment/management of ARDS! 📝 Free Quiz: adv.icu/3N5xOIM
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To continue our discussion of Acute Respiratory Distress Syndrome (ARDS) we need to talk more about the ways in which we diagnose it, from our history and physical, chest X-ray, CT scan, ultrasound and labs than can help identify causes. From there we review over the different management strategies that we have. We adapt some of these strategies to provide the best optimization for patients in ARDS. These include fluid management, steroids, ventilatory support, lung protective mechanical ventilation, vent dyssynchrony strategies, paralysis, proning, APRV, pulmonary vasodilators, ECMO and other damage control strategies.
EXTENSIVE list of additional videos! 😳
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ARDS Lesson 1: • What is ARDS? Acute Re...
Respiratory Failure: • Respiratory Failure EX...
Chest Tube Series: • Chest Tubes
ECMO Series: • ECMO
What is CRRT?: • What is CRRT? - CRRT E...
Proning: • Why do we prone patien...
CPAP vs BiPAP: • CPAP vs BiPAP - Non-In...
Advanced Vent Modes: • Advanced Vent Modes - ...
ICU Drips (Sedation): • Sedation in ICU Patien...
ICU Drips (Analgesics): • WHAT ARE ANALGESICS? -...
ICU Drips (Inotropes): • Inotropes - ICU Drips
ICU Drops (Paralytics): • WHAT ARE PARALYTICS AN...
ABG Series: • Arterial Blood Gases (...
Critical Care Labs: • Critical Care Labs
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0:00 Intro
1:33 Diagnosis
6:25 Management
7:46 Fluid Management
8:45 Steroids
9:10 Ventilatory Support
10:08 Lung Protective Mechanical Ventilation
16:35 Vent Dyssynchorny
18:15 Proning
19:02 APRV/BiLevel
20:33 Paralysis
21:32 Inhaled Vasodilators
22:18 ECMO
23:03 Nutrition
23:38 Damage Control
25:52 Wrap-up
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❗️❗️PLEASE NOTE: ICU Advantage medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider. The information is present here to give you a starting place to further look in to the proper treatments and recommendations for the care of your patient.
#ICUAdvantage #ARDS #ARDSManagement
So my 24 year old son currently is in the icu with ards.This is so hard because he is still young and has his whole life ahead of him.i pray he can hopefully get better.
So far I've only watched your ARDS videos, but they are EXTREMELY helpful in understanding the pathophys and why we're doing what we're doing to help our patients. Your explanations are simple and to the point. Thank you!! I've shared with my entire nursing class.
It's almost like you have a copy of my critical care nursing syllabus - you put out these videos just when i need them, thank you!!
Haha awesome. Don't tell your professor... lol I kid. I love when the timing works out like this!
I recently began working in the ICU and these videos are so great for explaining the concepts. Really love the vids!
Awesome. Congrats on the new ICU gig and glad you enjoyed the video.
ICU Advantage is a great source for info! I love it!
Woohoo!! Really happy to hear this Paige! Thank you so much!
Perfect, as always! Thank you so much! I wrote 4 pages out of this video, it is a very good conclusion after many books read I think.
Appreciate that Camelia! And wow thats a lot of notes lol. Glad you enjoyed it.
Your videos are SO helpful. Thank you so much!
So great to hear this Jordan! Glad you enjoyed it!
Great explanation Thank you
These videos are very much appreciated sir. Thank you for the work you put in them. Do you have a plan on making similar videos concerning Ventilation strategies (maybe some sort of case report/quiz format) where you'd go in depth in the escalation options (primarily interested in the ventilation aspect)?
Best video on ARDS
Loved the video.
Thank you for these videos!!
You are so welcome!
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Notes for this lesson (and all previous lessons) are availably only to RUclips and Patreon members. Links to join both here ⬇
► RUclips: adv.icu/ym | ► Patreon: adv.icu/pm
DON'T FORGET TO CHECK OUT THE EXTENSIVE LIST OF REFERENCED VIDEOS IN THE VIDEO DESCRIPTION!
Perfect and more than excellent. Thank y veryyyy much
Wow super insightful and easy to understand ❤
Glad you think so!
Another excellent video!
Thank you. Glad you liked it.
So helpful to watch your videos as a new ICU RN! Thank you for your great content. ICU is a lot but you manage to teach it in an "easily digestible" way.
Thank you so much Abigail! Really appreciate hear that. It IS a lot at first, but it all comes with time. Happy to be of help in some way.
Just perfect !
Thank you
Going into my preceptorship in the ICU and love these videos! ! Any tips on what to study prior to critical care? Do you have a bundle to purchase of study materials, or have any suggestions? Thank you for all you do; you rock!
How exciting Savannah! Wishing you the best in your preceptorship. As for studying, I usually just suggest people look up and learn about things after they encounter them. Especially once you get hired, there is a lengthy process to get you oriented. As you are exposed to stuff, afterwords take the time to look it up and learn more about it. You can certainly overwhelm yourself so I don't really suggest just blanket studying, unless theres a particular area you are having difficulty with.
THANK YOU
You're welcome!
I've had 2 respiratory distress events, the most recent with covid and ventilation. I look for videos that are for patients rather than for medical persons. I haven't found any! I'm a 62 yr old woman with stage 4 COPD, although barely beyond stage 3. Thank you. I find copd videos but nothing on ARDS or respiratory failure. The last event, my O2 was around 40%.
What was ur treatment?? Mom in icu now with admission o2 @ 70%
I was unconscious when brought to ICU. I was intu 0:05 bated for about 24 hrs. unconscious. Then, the tube was removed when I could breathe on my own. I stayed in the hospital general for another two weeks. I was released with instructions raising the numbers on the supplemental oxygen that I use at home. I'm a shut-in, basically, so only go out to medical appointments, as I live alone. Best wishes to you and your Mom! ❤
@@doesitreallymatter8010 I'm here if you have more questions!😊
That's amazing. Thanks a lot .. I have one question only regarding driving pressure .. What are your thoughts about it.
Appreciate that. Glad you liked it. As for driving pressure, I think theres more needed in the area, specifically when it comes to ARDS. There aren't any good trials using it for management and even the application clinically at the bedside is at best a guessing game. Current recommendations just focus on plateau pressure, but perhaps in the future more guidance may come about. It is correlated with mortality, but again, targeting driving pressure goals is difficult at best.
using exh TV / C Stat will give you a good reference. Mortality is proportional to calcs >20
Great content 👍.
Does high CO2 cause vasoconstriction or is it vice versa? ie a high CO2 causing vasodilation and thus increase cerebral blood flow and ICP
CO2 CAUSES VASOCONSCRPTION IN THE PULMONARY ARTERIES LEADING TO GREATER PRESSURE ON THE RV. CEREBRAL VASODILATION CAN BE CAUSED BY CO2.
You are the encyclopedia of ICU management...
Haha thank you! Definitely trying to eventually have a very extensive collection for critical care
Those who worked in the ICU during COVID be getting flashbacks to the trenches
Prognosis???
@15:04 I thought it was vasodilation of Vessels with excess CO2. pls correct me if I'm wrong.
True, except in pulmonary vessels, in which CO2 typically causes vasoconstriction. (It does get a bit more complicated, but as a general rule, think pulmonary vessels = vasoconstriction).
But systemically, we see vasodilation, which is why for elevated ICPs one potential treatment is to increase minute ventilation to blow off CO2 to prevent vasodilation of cerebral arteries to try and reduce ICP.
@@ICUAdvantage Sweet! thank you for the response! Yeah I think I was thinking of ICP when I wrote the comment. Makes sense that CO2 causes vasoconstriction in pulmonary vessels - this is how COPD patients can develop pulmonary HTN.
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TY!
👍👏
Thank you!
Note: he just told ICU nurses to listen to what RT has to say...which I didnt think ICU nurses could take advice from anybody 😂😂
The good ones definately can!
hello sir i thought co2 was a vasodilator but at 1449 you mention that is has vasoconstriction properties can ou elaborate please
Good catch. I messed that up somewhat. In the pulmonary vasculature, CO2 along with hypoxia causes pulmonary vasoconstriction, while outside the pulmonary system it causes vasodilation.
The pulmonary vasoconstriction increases PVR and thus is detrimental to RV failure, while the vasodilation increases cerebral blood flow, which is increases ICP and thus is detrimental there as well. Ultimately, we want low CO2 levels but for different reasons, which I def did not explain well there.
@@ICUAdvantage Thank you much for the answer and video, very useful!!!!! fav videos on youtube.
😅 i was looking for answers on google and to no avail. Good thing i checked the comment section. Amazing!!!
1:35
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It's just a shortcut for all the intro. Straight to the med stuff
Change your intro song please lol
Sorry I don't anticipate that happening anytime soon
@@ICUAdvantage lol I’m a big fan but that song is just too loud but the knowledge I get from you is worth it.
@@chemaha1 I’ll see if I can adjust the volume
Boring video
thanks
How do you view the notes??
Hey sorry YT doesn't make it easy to figure out with membership!
If you go to the main ICU Advantage YT Page then click the "Community" tab, you'll find all the member posts. Just look for the most recent and it'll have the link to the Dropbox and the current password. The password does change each month so just always look for the most recent one!