Fast Five Quiz: Acute Respiratory Distress Syndrome (ARDS)

Zab Mosenifar, MD


April 10, 2020

According to formal guidelines for the management of ARDS published in the Annals of Intensive Care in June 2019, the following is recommended:

  • Prone positioning should be used to reduce mortality in patients with ARDS who have a PaO2/FiO2 ratio < 150 mm Hg.

  • A tidal volume of around 6 mL/kg of PBW should be used as a first approach in patients with ARDS, in the absence of severe metabolic acidosis, including patients with mild ARDS.

  • Once tidal volume is set to around 6 mL/kg PBW, plateau pressure should be continuously monitored and should not exceed 30 cm H2O.

  • High-frequency oscillation ventilation should not be used in patients with ARDS.

  • Although high PEEP is recommended in patients with moderate or severe ARDS, it is not recommended in patients with mild ARDS.

Read more about the treatment of ARDS.

This Fast Five Quiz was excerpted and adapted from the Medscape Drugs & Diseases articles Bacterial Pneumonia, Community-Acquired Pneumonia (CAP), Pediatric Pneumonia, and Hospital-Acquired Pneumonia (Nosocomial Pneumonia) and Ventilator-Associated Pneumonia.

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