Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Intensive Care Medicine
Published in: Intensive Care Medicine 5/2015

01-05-2015 | Editorial

Rescue therapy for refractory ARDS should be offered early: we are not sure

Authors: Antoine Roch, Laurent Papazian

Published in: Intensive Care Medicine | Issue 5/2015

Login to get access

Excerpt

Clinical vignette A previously healthy 51-year-old woman was admitted to the intensive care unit (ICU) with severe community-acquired pneumonia. She required intubation and mechanical ventilation 6 h after admission. Her respiratory status declined continuously over the next few hours, and her PaO2/FiO2 ratio was 65 with a positive end-expiratory pressure (PEEP) at 8–12 h after admission (plateau pressure was 28). She was hemodynamically stable and had normal renal function. …
Literature
1.
Peek GJ, Mugford M, Tiruvoipati R, Wilson A, Allen E, Thalanany MM et al (2009) Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. Lancet 374(9698):1351–1363CrossRefPubMed
2.
Pham T, Combes A, Roze H, Chevret S, Mercat A, Roch A et al (2013) Extracorporeal membrane oxygenation for pandemic influenza A(H1N1)-induced acute respiratory distress syndrome: a cohort study and propensity-matched analysis. Am J Respir Crit Care Med 187(3):276–285CrossRefPubMed
3.
Roch A, Hraiech S, Masson E, Grisoli D, Forel JM, Boucekine M et al (2014) Outcome of acute respiratory distress syndrome patients treated with extracorporeal membrane oxygenation and brought to a referral center. Intensive Care Med 40(1):74–83CrossRefPubMed
4.
Schmidt M, Zogheib E, Roze H, Repesse X, Lebreton G, Luyt CE et al (2013) The PRESERVE mortality risk score and analysis of long-term outcomes after extracorporeal membrane oxygenation for severe acute respiratory distress syndrome. Intensive Care Med 39(10):1704–1713CrossRefPubMed
5.
Mancebo J, Fernandez R, Blanch L, Rialp G, Gordo F, Ferrer M et al (2006) A multicenter trial of prolonged prone ventilation in severe acute respiratory distress syndrome. Am J Respir Crit Care Med 173(11):1233–1239CrossRefPubMed
6.
Gattinoni L, Carlesso E, Taccone P, Polli F, Guerin C, Mancebo J (2010) Prone positioning improves survival in severe ARDS: a pathophysiologic review and individual patient meta-analysis. Minerva Anestesiol 76(6):448–454PubMed
7.
Guerin C, Reignier J, Richard JC, Beuret P, Gacouin A, Boulain T et al (2013) Prone positioning in severe acute respiratory distress syndrome. New Engl J Med 368(23):2159–2168CrossRefPubMed
8.
Gainnier M, Michelet P, Thirion X, Arnal JM, Sainty JM, Papazian L (2003) Prone position and positive end-expiratory pressure in acute respiratory distress syndrome. Crit Care Med 31(12):2719–2726CrossRefPubMed
9.
Guervilly C, Hraiech S, Gariboldi V, Xeridat F, Dizier S, Toesca R et al (2014) Prone positioning during veno-venous extracorporeal membrane oxygenation for severe acute respiratory distress syndrome in adults. Minerva Anestesiol 80(3):307–313PubMed
10.
Richard C, Argaud L, Blet A, Boulain T, Contentin L, Dechartres A et al (2014) Extracorporeal life support for patients with acute respiratory distress syndrome: report of a consensus conference. Ann Intensive Care 4:15CrossRefPubMedCentralPubMed
Metadata
Title
Rescue therapy for refractory ARDS should be offered early: we are not sure
Authors
Antoine Roch
Laurent Papazian
Publication date
01-05-2015
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 5/2015
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-015-3708-2

Other articles of this Issue 5/2015

Intensive Care Medicine 5/2015 Go to the issue

Imaging in Intensive Care Medicine

Orthopnea with platydeoxia secondary to prominent Eustachian valve

Letter

Predictors of noninvasive ventilation success in children with acute respiratory failure

Correspondence

Response to Perner et al.: testing current practice is no mistake

What's New in Intensive Care

Ten tips on how to win the war against resistance to antibiotics

Systematic Review

Assessment of impairment and activity limitations in the critically ill: a systematic review of measurement instruments and their clinimetric properties

Editorial

Rescue therapy for refractory ARDS should be offered early: no