Tuesday, May 11, 2021

ARDS management mnemonic

 Maintenance “DOSE”

Dry Lungs - “Dry lungs -Happy lungs”

  • Maintain negative fluid balance to reduce pulmonary edema

Open but not Over-distended 

  • Kept Open by optimizing PEEP 
  • Not overdistended by LTVV 
  • LTVV - Low tidal volume ventilation ( Permissive hypercapnic respiratory acidosis) 
  • Limit alveolar distending volume (VT 6 mL/kg) & pressure (Pplat ≤30 cm H2O)

Sepsis\ Source Control

  • Steroid for Moderate to severe ARDS 
  • Assess for fluid-responsiveness prior to blind volume loading (eg, via passive leg raise to simulate a fluid bolus) in Septic Shock 

Extubation timely to minimize sedation.

That’s all!

Thank you! 

No comments:

Post a Comment

This is express yourself space. Where you type create something beautiful! <3
Wondering what do I write? Well...
Tell us something you know better. You are a brilliant mind. Yes, you are! ^__^
Ask about something you don't understand @_@?
Compliment... Say something nice! =D
Be a good critic and correct us if something went wrong :|
Go ahead. Comment all you like here! (:

PS: We have moderated comments to reduce spam. ALL comments that are not spam will be published on the website.