ECMO..the indication

A ratio of PaO2 to fraction of inspired oxygen (PaO2/ FIO2) 200 mm Hg is one criteria used to identify ARDS, and in severe cases the PaO2/FIO2 may be 75 mm Hg and mortality risk exceeds 80%—a point when ECMO is considered.

It is important to note that ECMO is supportive and not therapeutic, and that the most important criteria when considering ECMO are that the underlying disease process is reversible and that the risks associated with ECMO do not worsen the patient’s condition.

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The 100 essentials in icu and anesthesia

The most visual experience in anesthesia and critical care education The 100 essentials of anesthesia and critical care COMING VERY SOON stay tuned

Driving Pressure in ARDS: A new concept!

Driving Pressure and Survival in the Acute Respiratory Distress Syndrome Marcelo B.P. Amato, M.D., Maureen O. Meade, M.D., Arthur S. Slutsky, M.D., Laurent Brochard, M.D., Eduardo L.V. Costa, M.D., David A. Schoenfeld, Ph.D., Thomas E. Stewart, M.D., Matthias Briel, M.D., Daniel Talmor, M.D., M.P.H., Alain Mercat, M.D., Jean-Christophe M. Richard, M.D., Carlos R.R. Carvalho, M.D., and Roy G. Brower, M.D. N Engl J Med 2015; 372:747-755 February 19, 2015 DOI: 10.1056/NEJMsa1410639 BACKGROUND Mechanical-ventilation strategies that use lower end-inspiratory (plateau) airway pressures, lower tidal volumes (V T ), and higher positive end-expiratory pressures (PEEPs) can improve survival in patients with the acute respiratory distress syndrome (ARDS), but the relative importance of each of these components is uncertain. Because respiratory-system compliance (C RS ) is strongly related to the volume of aerated remaining functional lung during disease (termed functional lung size)...

Steroids equivalent doses

Steroid Glucocorticoid Potency Mineralocorticoid Potency Equivalent Dose Hydrocortisone 1 1 20 Prednisone 4 0.8 5 Prednisolone 4 0.8 5 Methylprednisolone 5 0.5 4 Triamcinolone 5 0 4 Dexamethasone 30-40 0 0.75

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