Approaches and techniques to avoid development or progression of acute respiratory distress syndrome

作者：Beloncle Francois; Mercat Alain

来源：Current Opinion in Critical Care, 2018, 24(1): 10-15.

DOI：10.1097/MCC.0000000000000477

• Acute respiratory distress syndrome
• mechanical ventilation
• protective ventilation
• shock
• spontaneous breathing

Purpose of reviewDespite major improvement in ventilation strategies, hospital mortality and morbidity of the acute respiratory distress syndrome (ARDS) remain high. A lot of therapies have been shown to be ineffective for established ARDS. There is a growing interest in strategies aiming at avoiding development and progression of ARDS.Recent findingsRecent advances in this field have explored identification of patients at high-risk, nonspecific measures to limit the risks of inflammation, infection and fluid overload, prevention strategies of ventilator-induced lung injury and patient self-inflicted lung injury, and pharmacological treatments.SummaryThere is potential for improvement in the management of patients admitted to intensive care unit to reduce ARDS incidence. Apart from nonspecific measures, prevention of ventilator-induced lung injury and patient self-inflicted lung injury are of major importance.

• 出版日期2018-2