Act fast and ventilate soft: the Düsseldorf hands-on translation of the acute respiratory distress syndrome Berlin definition.

Peter Luedike, Matthias Totzeck, Christian Meyer, Ralf Westenfeld, Detlef Kindgen-Milles, Malte Kelm, Tienush Rassaf

Journal: Journal of critical care 2015;29(5):883.e1-5

PMID: 24768567

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Abstract

Early identification of acute respiratory distress syndrome (ARDS) and forceful implementation of standardized therapy algorithms are the mandatory basis of an effective therapy to improve patient outcome. Recently, a new definition of ARDS was implemented, which simplified the diagnostic criteria for ARDS. Evidence-based therapies are rare, but some cornerstone interventions can be recommended. Lung-protective ventilation with high positive end-expiratory pressure and low tidal volume and early prone positioning in severe cases improve survival rate. We here present an integrated "Düsseldorf hands-on translation" in the form of a "one-page" standard operating procedure in order to fasten and standardize both diagnosis and therapeutic algorithms on an intensive care unit.

Address: Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty Heinrich-Heine-University, University Hospital Düsseldorf, Düsseldorf, Germany.; Division of Anaesthesiology, Medical Faculty Heinrich-Heine-University, University Hospital Düsseldorf, Düsseldorf, Germany.; Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty Heinrich-Heine-University, University Hospital Düsseldorf, Düsseldorf, Germany. Electronic address: [email protected].

DOI: 10.1016/j.jcrc.2014.03.024

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MeSH Terms: Anti-Bacterial Agents, Berlin, Blood Gas Analysis, Energy Intake, Extracorporeal Membrane Oxygenation, Humans, Intensive Care Units, Nitric Oxide, Nutritional Support, Patient Positioning, Positive-Pressure Respiration, Prone Position, Respiration, Artificial, Respiratory Distress Syndrome, Tidal Volume