Second International Guidelines for the Diagnosis and Management of PARDS by R. Khemani

In this World Shared Practice Forum podcast, Dr. Robinder Khemani discusses the new Second Pediatric Acute Lung Injury Consensus Conference (PALICC-2) guidelines, describing important changes from the previous PALICC guidelines and highlighting topics such as non-invasive ventilation, patient self-inflicted lung injury, and strategies for monitoring the breathing of a patient who is receiving invasive mechanical ventilation.
LEARNING OBJECTIVES
Upon listening to this presentation, learners should be able to:
- Identify the differences between the old PALICC guidelines and new PALICC-2 guidelines
- Define patient self-inflicted lung injury
- Explain new recommendations for monitoring patients receiving invasive mechanical ventilation
GUEST
Dr. Robinder Khemani
Vice Chair of Research, Department of Anesthesiology and Critical Care
Children's Hospital of Los Angeles
Professor of Pediatrics
University of Southern California School of Medicine
HOST
Dr. Jeffery Burns MD, MPH
Chief and Shapiro Chair, Division of Critical Care Medicine; Executive Chair, International Health Services
Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine
Boston Childrens Hospital
Professor of Anesthesia
Harvard Medical School
DATES
Initial publication: February 28, 2023.
ARTICLES REFERENCED
Emeriaud G, López-Fernández YM, Iyer NP, et al. Executive Summary of the Second International Guidelines for the Diagnosis and Management of Pediatric Acute Respiratory Distress Syndrome (PALICC-2). Pediatr Crit Care Med. 2023;24(2):143-168. doi:10.1097/PCC.0000000000003147
Khemani RG, Smith LS, Zimmerman JJ, Erickson S; Pediatric Acute Lung Injury Consensus Conference Group. Pediatric acute respiratory distress syndrome: definition, incidence, and epidemiology: proceedings from the Pediatric Acute Lung Injury Consensus Conference. Pediatr Crit Care Med. 2015;16(5 Suppl 1):S23-S40. doi:10.1097/PCC.0000000000000432
ARDS Definition Task Force, Ranieri VM, Rubenfeld GD, et al. Acute respiratory distress syndrome: the Berlin Definition. JAMA. 2012;307(23):2526-2533. doi:10.1001/jama.2012.5669
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CITATION
Khemani RG, Daniel D, Burns JP. Second International Guidelines for the Diagnosis and Management of PARDS. 02/2023. Online Podcast. OPENPediatrics. • Second International G... .

[@dr.raghupathi4222]

excellent one Dr Robinder Khemani

[@hammerj]

Very nice talk and clear summary - thank you Robi. I would be interested if there is any data how often zero-flow conditions are no met at the end of inspiration during pressure control ventilation in pediatrics. I am sure this is a common problem in patients with obstructive disease, but how common is it in patients with restrictive lung disease such as ARDS? It might be valuable to perform an observational study across PICU's to look at that in greater detail.

[@samuelsamsixnsiah8016]

Please, can I get in touch with any of the cardiac doctors or hospitals to know much it cost to perform heart surgery (Secundum Atrial Septal Defect)