SCCM Resource Library-ARDS: Will Precision Approaches Move the Needle?

Video Transcription

Video Summary

In the video transcript, Dr. Daniel Talmor discusses the management of patients with COVID-19 who require intubation. He emphasizes the importance of individual patient assessment and considering the risk of spontaneous ventilation-induced lung injury. Dr. Talmor highlights factors such as large tidal volumes and prolonged periods of high flow nasal cannula use that should be considered when determining the timing of intubation or the initiation of VV ECMO. He cautions against the routine use of ECMO and suggests that adequate mechanical ventilation trials should be conducted before considering ECMO. Dr. Talmor also discusses the natural history of ARDS secondary to COVID-19 and the need for careful ventilation strategies. He suggests using driving pressure trials as a surrogate for determining optimal PEEP in ARDS patients. Adaptive clinical trials may be useful for testing different ventilatory approaches, and Dr. Talmor encourages young investigators to engage in critical care research. He also emphasizes the importance of global collaboration and acknowledges the contributions of critical care researchers in advancing the field. Overall, Dr. Talmor provides insights into personalized ventilation strategies for ARDS patients and emphasizes the need for individual patient assessment and careful consideration of appropriate interventions.

Asset Subtitle

Pulmonary, 2021

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

Learning Objectives

Identify failings in current approaches to acute respiratory distress syndrome (ARDS) treatment
Describe the challenges in individualizing therapy for patients with ARDS
Analyze lessons from COVID-19 that could advance individualized therapy

Peter Safar Memorial Lecture

Daniel Talmor

Meta Tag

Content Type Presentation

Knowledge Area Pulmonary

Knowledge Level Advanced

Membership Level Select

Tag Acute Respiratory Distress Syndrome ARDS

Tag Ventilation

Year 2021

Keywords

COVID-19

intubation

patient management

ventilation-induced lung injury

tidal volumes

high flow nasal cannula

VV ECMO

mechanical ventilation

ARDS

PEEP

adaptive clinical trials

critical care research

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.