New Respiratory and Hemodynamic Strategies of the Revised Berlin Definitions of the Acute Respiratory Distress Syndrome

Authors

  • L.O. Maltseva State Institution «Dnipropetrovsk Medical Academy of the Ministry of Healthcare of Ukraine», Dnipro
  • M.F. Mosentsev State Institution «Dnipropetrovsk Medical Academy of the Ministry of Healthcare of Ukraine», Dnipro
  • O.A. Mishchenko State Institution «Dnipropetrovsk Medical Academy of the Ministry of Healthcare of Ukraine», Dnipro
  • A.V. Borzova State Institution «Dnipropetrovsk Medical Academy of the Ministry of Healthcare of Ukraine», Dnipro
  • M.M. Perederii State Institution «Dnipropetrovsk Medical Academy of the Ministry of Healthcare of Ukraine», Dnipro

DOI:

https://doi.org/10.22141/2224-0586.4.75.2016.75824

Keywords:

acute respiratory distress syndrome, basic strategies, revision

Abstract

This article presents an overview and analysis of the new respiratory and hemodynamic strategies of the revised Berlin definitions of the acute respiratory distress syndrome (ARDS) on the basis of the researches published from 2011 to present: re-structured definition of acute respiratory distress syndrome; inclusion in the diagnostic criteria for the management of regression of noninvasive surrogate SF indicator; cha­racteristics of the structural changes in the lungs in mechanical ventilation (MV); the introduction of the term «respiratory lungs»; criteria of the feasibility of including «respiratory lungs» tactics; predictors of noninvasive MV failure; assessment of the lung recruitability; statement that ultraprotective strategy for MV with low-flow CO2 improves clinical outcomes in patients with moderate ARDS; the correlation between the time of intubation and the percentage of mortality; evaluating the effectiveness of conservative and liberal oxygenation strategy; multivariate analysis of the relationship of conservative and li­beral versions of infusion therapy for ARDS, the initial central venous pressure and disease outcome; feasibility of using isolated veno-venous or veno-arterial extracorporeal membrane oxygenation in ARDS and refractory septic shock, and determining the advantages of VVA-modification; description of Lung Injury Prediction Score; methods of ARDS prevention in high risk patients.

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References

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Published

2022-01-27

How to Cite

Maltseva, L., Mosentsev, M., Mishchenko, O., Borzova, A., & Perederii, M. (2022). New Respiratory and Hemodynamic Strategies of the Revised Berlin Definitions of the Acute Respiratory Distress Syndrome. EMERGENCY MEDICINE, (4.75), 92–95. https://doi.org/10.22141/2224-0586.4.75.2016.75824

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Section

Original Researches

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