Act fast and ventilate soft: the Düsseldorf hands-on translation of the acute respiratory distress syndrome Berlin definition.
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.
Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty Heinrich-Heine-University, University Hospital Düsseldorf, Düsseldorf, Germany.
Peter
P
Luedike
Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty Heinrich-Heine-University, University Hospital Düsseldorf, Düsseldorf, Germany.
Matthias
M
Totzeck
Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty Heinrich-Heine-University, University Hospital Düsseldorf, Düsseldorf, Germany.
Christian
C
Meyer
Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty Heinrich-Heine-University, University Hospital Düsseldorf, Düsseldorf, Germany.
Ralf
R
Westenfeld
Division of Anaesthesiology, Medical Faculty Heinrich-Heine-University, University Hospital Düsseldorf, Düsseldorf, Germany.
Detlef
D
Kindgen-Milles
Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty Heinrich-Heine-University, University Hospital Düsseldorf, Düsseldorf, Germany.
Malte
M
Kelm
Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty Heinrich-Heine-University, University Hospital Düsseldorf, Düsseldorf, Germany. Electronic address: Tienush.Rassaf@med.uni-duesseldorf.de.
Tienush
T
Rassaf
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001604:Berlin; D001784:Blood Gas Analysis; D002149:Energy Intake; D015199:Extracorporeal Membrane Oxygenation / Q000592:standards; D006801:Humans; D007362:Intensive Care Units; D009569:Nitric Oxide / Q000008:administration & dosage; D018529:Nutritional Support / Q000592:standards; D056888:Patient Positioning / Q000401:mortality; D011175:Positive-Pressure Respiration / Q000379:methods; D016684:Prone Position; D012121:Respiration, Artificial / Q000379:methods / Q000401:mortality; D012128:Respiratory Distress Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D013990:Tidal Volume
D000900:Anti-Bacterial Agents; D009569:Nitric Oxide
ARDS; Berlin definition; PEEP; Prone position