• Journal of critical care · Oct 2014

    Review

    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, and Tienush Rassaf.
    • Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty Heinrich-Heine-University, University Hospital Düsseldorf, Düsseldorf, Germany.
    • J Crit Care. 2014 Oct 1;29(5):883.e1-5.

    AbstractEarly 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.Copyright © 2014 Elsevier Inc. All rights reserved.

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