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Ventilator Therapy for ED Patients with ARDS
- As we manage critically ill patients for longer periods of time, it is likely that many of us will manage patients who develop ARDS
- Current mortality for patients with ARDS ranges from 30-40%
- ED treatment for patients with ARDS includes treating the inciting event, supportive critical care, and ventilator management
- Current ventilator management in patients with ARDS includes:
- avoiding alveolar overdistention (tidal volumes of 6 ml/kg)
- maintaining FiO2 < 60% (mitigates oxygen toxicitty)
- PEEP to prevent alveolar derecruitment (levels of 10-15 cm H2O)
- permissive hypercapnea