Intensive Care Society Radio
Critical Care Commute Podcast - Danny McAuley
Oct 27, 2023
Discussing the evolution of ARDS definitions including the impact of COVID-19. Exploring the use of point-of-care ultrasound in critical care and treating patients based on specific traits. Delving into the long-term impact of ICU interventions on patient outcomes.
25:31
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Quick takeaways
- ARDS diagnosis now includes high-flow nasal oxygen and ultrasound findings, expanding patient inclusion in trials.
- Precision medicine for ARDS aims to target specific phenotypes for improved treatment outcomes and management.
Deep dives
Evolution of ARDS Definition
The definition of ARDS has evolved to incorporate changes in clinical practice, such as the use of high-flow nasal oxygen and ultrasound. Patients can now fulfill ARDS criteria with infiltrates diagnosed by ultrasound or hypoxia measured by saturations, even with high-flow nasal oxygen. The incorporation of the Gaglia modification allows patients on ward oxygen to be classified under ARDS, facilitating wider inclusion in clinical trials.
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