
37. ARDS: Unpacking Acute Respiratory Distress Syndrome from Pathophysiology to Treatment Approaches
Critical Care Time
Optimizing PEEP and Prone Positioning in ARDS
This chapter explores the use of driving pressure to optimize PEEP settings in ventilated patients while prioritizing effective oxygenation. It emphasizes the substantial benefits of prone positioning for patients with Acute Respiratory Distress Syndrome (ARDS), including improved oxygenation and mortality reduction, and discusses the importance of teamwork in safely implementing this technique. Additionally, it addresses misconceptions about proning, such as fears of aspiration, and presents emerging practices like awake-prone positioning that gained traction during the COVID-19 pandemic.
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