(精编)【体外膜肺ECMO精品课件】 Acute Respiratory Distress Syndrome.ppt

Acute Respiratory Distress Syndrome;Disposition;Bakgrund;Prim?r vs sekund?r ARDS;Patofysiologi ;ARDS;;Patologiska fynd;Akut (Exudativ) fas (0-7 dagar);Fibroproliferative fas (7-21 dagar);Fibrosing alveolitis;?terh?mtningsfas;*;Disposition;American-European Consensus Conference (AECC) ARDS Definition;Problem med definitionen;The Berlin definition;+ 4 underordnade variabler f?r severe ARDS :(som exkluderades i den nya definitionen);*;*;The Berlin definition of ARDS;Validering ARDS definitioner (sv?righetsgrad/mortalitet/mekanisk ventilation);;Differentiera mild/moderate/severe; Make it sense??;The Berlin definition ;J?mf?relse gammal/ny definition;Konklusion;Disposition;Behandlingslogaritm;Disposition;Tidalvolym;Ventilator management ARDSnet protocol;;Ventilations strategier(NEJM 2000 ARDS Network study);Minimera lungskadan (NEJM 2000 ARDS Network study);VILI / VALI definitioner;VENTILATOR-INDUCED LUNG INJURY (VILI) Akut lungskada direkt orsakat av mekanisk ventilation;Tidalvolym; konklusion;Permissive hypercapnia;Permissive hypercapnia;Permissive hypercapnia;Permissive hypercapnia;SLE/Influensa/ARDS;;Disposition;PEEP;PEEP;Minimera lungskadan (NEJM 2000 ARDS Network study);PEEP konklusion, based on published data;*;*;*;*;?kat I:E kan ?ka rekryteringen och oxygenering ;ARDS Inverse Ratio Ventilation;Intrinsic Peep;Auto PEEP;Lungprotektiv ventilation;ARDS Spontaneous breathing;Disposition;*;*;*;Recruitment Maneuvers for Acute Lung Injury:A Systematic Review Fan E et al. Am J Respir Crit Care Med Vol 178. pp 1156–1163, 2008;Lung recruitment in patients with the acute respiratory distress syndrome. Gattinoni et al NEJM 2006, 354(17):1775-86; Higher Percentage of Potentially Recruitable Lung / Recruiter;How large is the lung recruitability in early ARDS: a prospective case series of patients monitored by CT De Matos GFJ et al Critical Care 2012, 16:R4;;Rekrytering;*;*;*;Disposition;Rygg eller………..;…….bukl?ge;ARDS bukl?ge;ARDS bukl?ge;?r bukl?g