What is ARDS? Acute Respiratory Distress Syndrome
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- เผยแพร่เมื่อ 3 ก.ค. 2024
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ARDS is a common thing that we come across with patients in the ICU. It is a result of diffuse alveolar and capillary inflammation and subsequent damage and leads to hypoxemia and heavy, stiff, non-compliant lungs. In this lesson we review over this info, including the Berlin Definition of ARDS and then dive into the pathophysiology, starting with what we would expect with a normal healthy lung. From there I talk about the changes we expect to see with the alveoli and capillaries and the problems that result. I also hit on the pulmonary hypertension and in recovery the pulmonary fibrosis that we can see leading to long to effects. Finally I cover the different causes of ARDS, as it is not just one disease process and includes direct and indirect causes.
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0:00 Intro
1:48 What is ARDS?
2:59 Berlin Definition (2012)
5:17 Pathophysiology
8:22 Alveolar Changes
9:56 Capillary Changes
12:04 Pulmonary Hypertension
12:39 Intrapulmonary Shunt
14:27 Pulmonary Fibrosis
15:29 Causes
18:21 Wrap-up
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#ICUAdvantage #ARDS #AcuteRespiratoryDistressSyndrome
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Notes for this lesson (and all previous lessons) are availably only to TH-cam and Patreon members. Links to join both here ⬇
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Hi, I can’t seem to see the notes even after I subscribed, I went to the link you provided but I can’t seem to see any
@@kayemasangya2422 hey Kaye shoot me an email so we can try and troubleshoot what’s going on. Sorry for the issues!
I am a survivor of ARDS. I got an infection from a tongue piercing and it ended up in my heart and then ARDS hit. I spent two months on life support. My husband wax deployed to Iraq at the time. I was so close to death they sent him home. Obviously i kicked ards ass. 😊
you are great ❤
I survived severe ARDS on top of acute kidney failure, after major cardiovascular surgery. They had to lay me on my stomach to drain that fluid and improve function. I then had to go on ECMO while in an induced coma for days to weeks. Luckily I made it through ECMO, and had to woke up with a tracheostomy. All praise due to the most high🙏
I got really sick in late January 2014, I was 49. I had chronic back pain that would not go away or loosing up. I left work bc of it and had a friend take me to the ER. They said I had possible pneumonia and gave me an antibiotic and sent me home. My pain didn’t let up 2-3 days later. I couldn’t get my pain under control, nothing I did like, sitting or walking or laying flat on my back would make my pain stop. So I went back to the ER 3days later and was transported to one of our big hospitals here in town. Come to find out, I had the following: ARDS, bilaterally pneumonia, sepsis, degenerative discs L3 & L4, hypertension, oxygen level at 74 and more but I can’t remember it all. I was put on life support for 9 days so that the lung infections & sepsis could be treated, this is why my off the chart back pain wouldn’t go away. I was told that most ppl (90%)!that get this are in their 70’s & 80’s and they don’t live through it. I viewed my chest X-rays and both of my lungs were solid white, and also I was out of work 2 1/2 months. Please if your reading my story and you are having back pain in the middle to lower parts of your back and won’t go away, go to ur Dr and demand an 3 view X-ray, just to rule it out. This is a very very bad disease to get. My long term prognosis, i can’t take shallow breathes, i get winded fast, I run out of breath sometimes when I talk &. I get a pain in my back when I do take deep breath’s. It’s better to be safe than sorry. It’s no joking matter by any means. Stay safe and pay close attention to your body
Bless you sweet lady, God ❣️🙏 keep her close to you.
This is another great episode. I know you have a million requests for videos, but I have to ask could you intertwine a trach video (care/management/troubleshooting) at the end of this series since it is respiratory? Trachs are definitely one thing I’m not so confident in, especially the different types and how to manage them. I wouldn’t ask but I never get clear answers about trachs. If not, that’s totally okay as well, keep up the great work!
L 🎉
I agree!
First off I appreciate the comment and glad to hear you enjoyed the video. I don't think I'll have trachs as apart of this series, but I promise I do have them on the todo list. I will try to get to it as soon as I can but yeah, I do have a todo list that is FAR too long 😂
Thank you for doing all of these different topics commonly seen in the ICU. It helps to review these topics from time to time so I would know and remember what I learned in school and seen in the Unit. Keep up the great work!
These videos are exceptional! Thank you for taking the time to help us understand serious illnesses we often encounter.
Really glad to hear this Mindy. Truly my pleasure to be able to help!
I really enjoy watching all your video series. Makes for a great refresher working as an ACNP running a 48bed step-down unit
Such a great lecture, much appreciation for all the work you put into these!!
Thanks so much Christina! It truly is a labor of love! 😂
Yet another great video! I am a new CCRN and been in the area a few months now. Your series have been very helpful.Thank you
Thank you thank you! Really happy to know these videos have been helpful for you and congrats on the new gig!
So informative & very easy to comprehend! Thank you so much for taking your time to help us out!
So great to hear! Truly happy to be able to help.
Love to watch your video to enhance my own knowledge. THANKS !!!
Awesome! Thats the whole goal. Its a never ending journey of learning.
A very thorough and appreciated video for nursing students trying to grasp these kind of vague topics (my textbook has less than 4 paragraphs on the topic).
I shared it in a group chat of nursing students and they all love your stuff! Thanks for the great content with just enough information about patho and interventions.
Current nursing student. I appreciate your videos and your knowledge. Thank you.
Glad you have enjoyed them and best of luck with school!
Yes from another nursing student this video is awesome!!
love the writing & colored markers. ( makes content more enjoyable & easy to understand) Great video Understand ARDS so much better now)
Awesome! Really glad you enjoyed the presentation style AND that you gained some new knowledge out of it as well! 😊
بسیار دقیق و زیبا توضیح داده شد . سپاسگزارم 🌹🌹🌹
Fantastic, as ever, many thanks UK
Thanks again for a super helpful tutorial!
Glad you liked it!
Great teaching. Thank you 💓
Glad to hear that Denise!
Thank you for this explanation.
Glad you liked it!
Thank you
Fantastic! Thank you for the great summary!
My pleasure! Glad you liked it.
❤ nicely explained. ❤
So formative thanks bro
Awesome, glad to hear it!
THANK, YOU, SO. MUCH. you're amazing, you're making me such a better flight paramedic an provider
your videos help me so much when studying for my diploma in critical care, im not sure if you have already done one but a video on plateau pressures would be great. thankyou
You explain things so nicely! Please do a series on PA Catheters and all the advanced hemodynamic measurements associated with them.
Thank you for that. And yes, I do have both of those on the todo list!
Great video
My mother died from ARDS twenty-five years ago. She went from being a healthy 79-year-old to having an upper respiratory infection to being on intravenous antibiotics to being on a respirator in intensive care within a matter of four days.
thank you sir
Thank you!
You're welcome!
This helps to explain how I almost died in the ER. I entered with ox sat at 50%, staff telling my family I was not going to make it,
and waking up in ICU not knowing what the hell happened. That was 2018 and I’m still trying to figure it out. But, I have the Vest, nebulizer and suction machines to help me at home along with my home oxygen concentrator. My portable SimplyGo Mini portable oxygen was stolen from my car so I don’t get out as much as I was able to with my SimplyGo.
Your videos have helped me to understand my many diagnoses (my docs call me “unique”) and how they relate and impact my life. I, in turn, am able to adjust to and FIGHT. My only goal after coming home from the hospital was to not go back and so far I’m 4 years hospital free. Wait, there’s more. My youngest brother has been hospitalized with Covid since October and on a ventilator. Some of your videos, along with other videos, have helped to understand his PEEPS, etc.
I read you message in reference to the outstanding Video that was very Helpful everyone but I wanted to ask you a question I have a disease call Tracheabroncomalsia the collapse of the Trachea. I have been diagnosed going on now almost 15 years ago and the mucus builds up so bad in my Trach I wanted to ask you how was you able to get the suction device because my Lung Specialisr know my condition and how bad it gets inflamed but have never offered a suction device THAN-YOU so much
I really like the drawing of the picture and explanation.
Awesome! :)
Excelent. Thanks.
Thank you! Appreciate it as always!
Thank you. 🖤
You’re welcome 😊
Thanks for this...
You're welcome!
Good explanation
Thank you!
Thanks!
Thank you so much Jonathan!
I've had respiratory failure twice. Recently ICU intubation. I'm trying to find information that I can understand better than videos for doctors and nurses. Really, I can't find much of anything! Very surprised and disappointed. Thanks!
Amazing 😍
Thank you!
Awesome lecture! Thank you for taking the time to make these.
Glad you liked it. Truly my pleasure to help
I had ARDS after being shot in the back twice. My lungs were hit also and got badly infected. I was so close to death i have no idea how I pulled through. Nurses and Drs have my utmost respect and love. I never really knew i had Ards as I was in an induced coma and when I woke up I had a trach in my neck. I will say some of the most terrifying moments were when they would change or clean my trach and then when they were weaning me off of supplied oxygen. Wow. Anyway, Thanks for the video.
Do you still have it it fif it go away
I think it would be interesting if you discussed brain death in a video and management of a “gift of life” patient. Has a case this weekend and there was a lot that happened that I was not aware of.
I have some literature I can email you if you want on brain death criteria
Yes! I do have that on the todo list. I really want to get to it sooner than later as its a very complex and cool process.
Very nice explaination sir👍👍👍👍🤟🤟🤟♥️♥️♥️ nxt wk m posting to respiratory icu🙁
Appreciate that and best of luck to you!
dude you are just as great if not better than Khan academy. I'll say it more than once but ECCO modules do not even hold a candle to what you do. I have already emailed my director asking to officially open this channel up to a resource, I am sure information will have to be validated but thank you so much.
I will agree that the ECCO modules are.... not great. I really appreciate the kind words and that'd be super cool if they had this channel as a resource for you guys there. You'll have to keep me posted!
Didn't search for this but came across. Hope you'll respond to this .
Last may i started having dizziness, neck pain, small bumps behind head after i started exercising after 1.5 years of inactivity. It's still there here and now but better, did MRI. Nothing wrong. Did blood test, no problem. Then from like September last i got this cold that wasn't bad but since then it didn't go away. It started as nose running and then dry cough. Went from chest xray and blood test, no issues. This pulmonologist gave medicine for like 2 weeks. A lot of mucus i coughed out but since then the mucus is just thicker. From like November i noticed pain on the spleen area when i did push up. Now for like two weeks i feel pain when i touch there, also for about a month when i do deep breath and sometimes normal breath, both or just one side of my chest hurt. Like hard to explain, not too much pain but like congested pain idk. Btw i have gallstones so been feeling constipation and bloating for two weeks now. Had gallstones for few years tbh. I'm just worried about this chest pain and this none stop thick mucus , and it always comes down to my throat so when i don't spit it i swallow it accidentally. Please let me know what it could be. Cold things make it worse btw. Only thing that helped a little was homeopathy . Should i do a chest mri or something?
Many thanks for your valuable and informative clips, can I ask what is your main reference for your contents?
Glad you enjoyed it. I use a lot of different sources when researching the video content as well as including personal experience.
hello sir...will you provide notes on these topics..?
ICU Advantage, I am wondering what blackboard/whiteboard app you use to create these videos for education. I have not been successful in finding one that allows me to be this interactive
My husband passed away in August, Covid Pneumonia, was only intubated for 12 hours. We know he would not survive, ARDS. So we ended care. He had several other serious health issues prior to the Covid. 😔😔
I’m so sorry 😢
So sorry to hear about the loss of your husband. So very tough 😢
Hi. Could you please explain the high flow meter that is now commonly used in respiratory distress these days. I keep seeing this meter with huge bags of water hanging? Please explain. Thanks
I'll add it to the todo list
Can I ask a quick question. Why does a decrease in CO cause more deoxygenated blood from the shunt?
Can this condition be a chronic lifetime illness or doed it usually improve or go aesy with Time?
I'm just starting out in the CVICU. Do you have a preference for titrating blood pressure between norepi and epi in an ARDS pt? Seems like decreased CO in an ARDS pt, they may benefit from inotropic push of epi as compared to levo. Thanks!
I will say, anecdotally, I don't see Epi used much outside of cardiac related issues. We do get some inotropic support with levo though as well, so don't discount it. You are thinking about things the right way though and there is potential for benefit from increasing CO in some of these patients.
That said, with multiple pressors, I always clarify with providers the order they want what titrated. If found it varies often from provider to provider with different rationales. I always like to ask the why to get a better understanding.
Monstercat! 😎
Hi
I wanna notes for this lesson plz
They are available to TH-cam and Patreon members.
I have seen patients potentially damaged by applying Berlin criteria rigidly to CoVid patients; one was a 58 year old woman who met the oxygen criteria on ARDS but was on high flow oxygen with improving oxygenation, eating and talking. All her numbers, CRP, LDH, ferritin, and D- dimer were falling. I resisted anesthesia suggestion to intubate a talking and eating patient?! She discharged 5 days later. The Berlin criteria were developed without CoVid and should not be slavishly applied to them!
I totally agree that covid is still fairly a new disease and under a lot of research. Most of the things we learned don't apply to covid. You can not tell if a patient would benefit from early intubation or late.
Yeah COVID has certainly had its own twist on things and has also changed itself over these years. I should have been more clear, but I merely was mentioning COVID as for so many that have just started in the last couple years, I think most often associate ARDS and COVID but don't realize this is actually fairly common for A LOT of other things. But agreed about not holding hard and fast on our criteria. But I think so much of that applies to many things we do 😊
❤❤❤
👍
How do you write so fast? Dang!
The power of editing :)
Praanrakshak Churna by Planet Ayurveda is very beneficial in eliminating oldest allergy.
How does a 14 year old healthy girl catch this?
not to be confused with Non-Acute Respiratory Distress Syndrome, or NARDS.
Yeah that one's real bad
@@ICUAdvantage can you make a video on Non-Acute RDS or briefly explain here?
Also do you have a video on ICP, BIS, and CVP monitoring?
ARDS has always stood for Adult Respiratory Distress Syndrome to differentiate it from RDS of the newborn.
Nice but make it shorter
Thanks for the feedback
Thank you
You're welcome
👍
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