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ICU Ed and Todd-Cast
ATS vs ESICM ARDS Guidelines
Jan 16, 2024
Comparing and contrasting ATS and ESICM ARDS guidelines, exploring CPAP and high flow interventions, discussing corticosteroid and ECMO use, debating neuromuscular blockade benefits, controversy over recruitment maneuvers and high PEEP in critical care management
48:04
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Quick takeaways
- Corticosteroids are conditionally recommended for ARDS patients by ATS guidelines based on moderate evidence, showing benefits in ventilator time reduction and mortality decrease.
- ECMO use in severe ARDS varies between ATS and ESICM guidelines, with ATS recommending VV ECMO for select severe patients and ESICM favoring ECMO based on eligibility criteria from the EOLIA trial.
Deep dives
Steroids in ARDS
The podcast explores the use of corticosteroids in patients with ARDS. ATS guidelines suggest using corticosteroids for ARDS patients with a conditional recommendation based on moderate evidence. This recommendation stems from trials showing benefits in terms of ventilator time reduction and mortality decrease. However, concerns about hyperglycemia and other side effects are also acknowledged.
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