SCCM Resource Library-Year in Review Internal Medicine: Topic 3

Video Transcription

Video Summary

George Onisi, a medical intensivist from the University of Pennsylvania, presented an update on ARDS management and definitions. The talk highlighted recent updates to guidelines from the ATS and European Society of Intensive Care Medicine, particularly concerning mechanical ventilation, prone positioning, and new ARDS definitions. Both organizations maintain strong support for low tidal volume ventilation and prone positioning but differ on high PEEP strategies, with ESICM advising caution and ATS conditionally recommending it. ESICM and ATS also discourage routine use of prolonged recruitment maneuvers due to potential harm. Neuromuscular blockade and ECMO recommendations emerged with new evidence supporting careful use in select severe ARDS cases. High-flow nasal oxygen and non-invasive ventilation gained attention in the COVID era, especially for intubation avoidance. The discussion addressed variations in ARDS definition, including adaptations for resource-limited settings, emphasizing new global standards for improved diagnosis and management in diverse clinical environments.

Asset Caption

Year in Review | Year in Review: Internal Medicine

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

ARDS management

mechanical ventilation

prone positioning

high PEEP strategies

neuromuscular blockade

high-flow nasal oxygen

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