The role of acute hypercapnia on mortality and short-term physiology in patients mechanically ventilated for ARDS
ESICM Talk25 Mai 2022

The role of acute hypercapnia on mortality and short-term physiology in patients mechanically ventilated for ARDS

Recent evidence suggests that acute hypercapnia could have harmful physiological and clinical effects in patients with ARDS, particularly impacting the haemodynamic system. A review and meta-analysis were performed to summarise the clinical consequences of acute hypercapnia in mechanically ventilated patients.

The primary objective was to determine the association between acute hypercapnia and mortality in adult patients mechanically ventilated for ARDS. The secondary goal was to identify the association between acute hypercapnia and haemodynamics (systemic and pulmonary circulation) in adult patients mechanically ventilated for ARDS.

Original paper: The role of acute hypercapnia on mortality and short-term physiology in patients mechanically ventilated for ARDS: a systematic review and meta-analysis.

Speakers:

Armand MEKONTSO DESSAP. AP-HP, Hôpitaux Universitaires Henri-Mondor, Service de Médecine Intensive-Réanimation, 94010 Créteil (FR).

Mariangela PELLEGRINI. Department of Surgical Sciences, Uppsala University Hospital (SE). ESICM NEXT member.

Episoder(91)

Artesunate treatment in severely injured patients with traumatic haemorrhage

Artesunate treatment in severely injured patients with traumatic haemorrhage

Multiple organ dysfunction syndrome (MODS) is common after major trauma, affecting up to two-thirds of patients with critical injuries. Post-trauma MODS is associated with a mortality of over 20% and ...

20 Sep 202318min

Life after sepsis in adult and paediatric patients

Life after sepsis in adult and paediatric patients

Sepsis is a life-threatening acute organ dysfunction secondary to infection and affects more than 19 million people annually. In 2017, it was estimated that almost 49 million people were infected by s...

13 Sep 202325min

Severe meningoencephalitis in the ICU: results from the EURECA study

Severe meningoencephalitis in the ICU: results from the EURECA study

Central nervous system (CNS) infections significantly burden ICU physicians' daily clinical work. Diagnosis can be challenging, and timely management is of the utmost importance. Meningoencephalitis i...

6 Sep 202318min

Diabetes mellitus in old critically ill COVID-19 patients

Diabetes mellitus in old critically ill COVID-19 patients

Several studies have found an association between diabetes mellitus, disease severity and outcome in COVID-19 patients. Old, critically ill patients are particularly at risk. A recent multicentre inte...

30 Aug 202310min

Results from the TAME trial

Results from the TAME trial

International guidelines recommend targeting normocapnia in adults with coma resuscitated after out-of-hospital cardiac arrest. However, normocapnia may be insufficient to restore and maintain adequat...

27 Jun 202325min

Guidelines for the management of severe community-acquired pneumonia

Guidelines for the management of severe community-acquired pneumonia

Severe community‐acquired pneumonia (sCAP) is a clinical entity to describe ICU-admitted patients with community‐acquired pneumonia (CAP) as they might require organ support, and it is associated with...

24 Mai 202320min

Permissive azotemia during AKI enables more rapid renal recovery and less renal fibrosis

Permissive azotemia during AKI enables more rapid renal recovery and less renal fibrosis

Preclinical models of acute kidney injury (AKI) consistently demonstrate that a uremic milieu enhances renal recovery and decreases kidney fibrosis. Reduced renal clearance has the surprising and count...

17 Mai 202343min

How to manage coagulopathies in critically ill patients

How to manage coagulopathies in critically ill patients

Coagulopathy is a severe and frequent complication in critically ill patients, for which the pathogenesis and presentation may be variable depending on the underlying disease. Therefore, a review has ...

10 Mai 202320min

Populært innen Business og økonomi

lydartikler-fra-aftenposten
stopp-verden
dine-penger-pengeradet
e24-podden
rss-penger-polser-og-politikk
rss-borsmorgen-okonominyhetene
pengesnakk
tid-er-penger-en-podcast-med-peter-warren
finansredaksjonen
pengepodden-2
livet-pa-veien-med-jan-erik-larssen
utbytte
rss-sunn-okonomi
morgenkaffen-med-finansavisen
stormkast-med-valebrokk-stordalen
liberal-halvtime
lederpodden
rss-markedspuls-2
okonomiamatorene
rss-politisk-preik