- 123.6k views
Ventilatory Strategies in ARDS
Ventilatory strategies in Acute Respiratory Distress Syndrome (ARDS) are crucial for optimizing oxygenation and minimizing further lung injury. Ventilating with low tidal volumes (6 mL/kg of predicted body weight or lower) reduces the risk of ventilator-induced lung injury (VILI). PEEP is used to maintain alveolar recruitment and improve oxygenation while preventing lung collapse during expiration. A lung-protective ventilation strategy combines low tidal volume and appropriate PEEP levels to minimize barotrauma and volutrauma. Prone positioning can be beneficial in ARDS patients by improving oxygenation and reducing ventilator-induced lung injury. Allowing for higher levels of carbon dioxide (permissive hypercapnia) may be necessary to avoid excessive ventilator pressures. Continuous monitoring of oxygenation, ventilation, and lung mechanics is essential to adjust ventilatory settings as needed. Individualized PEEP selection using techniques like the recruitment-to-inflation (R/I) ratio helps tailor ventilatory support to each patient's needs.
About the Speaker
Dr. Rishabh Kumar Mittal
Principal Consultant Critical Care Medicine and Incharge Gastro Liver & Liver Transplant ICU Max Superspeciality Hospital, Delhi
Dr Rishabh Kumar Mittal is a well known intensive care physician having more than 12 years of experience in the field of Critical Care Medicine. After completing his post graduation from prestigious S.M.S Medical College and attached group hospitals , Jaipur; he ventured in the field of Critical Care Medicine and completed F.N.B in Critical Care Medicine from Fortis Escorts Heart Institute, New Delhi. He is an astute clinician and academician and is a teacher & guide for DrNB,F.N.B, IDCCM, IFCCM and IDCCN courses in Critical Care Medicine.
Upcoming Case Discussions
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Molecular and Genetic studies in Gynaecological Malignancies
Molecular and genetic studies in gynecological malignancies have revolutionized diagnostics, prognostics, and targeted therapies. Advances in genomic sequencing have identified key mutations in ovarian (BRCA1/2, TP53), endometrial (PTEN, MSI), and cervical cancers (HPV integration, PIK3CA). These findings aid in precision medicine, guiding individualized treatments like PARP inhibitors for BRCA-mutated ovarian cancer. Epigenetic modifications, including DNA methylation and miRNA regulation, further influence tumor progression and therapeutic response. Emerging technologies like liquid biopsies and multi-omics approaches enhance early detection and monitoring. Understanding these molecular pathways is crucial for developing novel therapies and improving survival outcomes in gynecological malignancies.
AI in Enhancing Emergency Care
AI is revolutionizing emergency care by enabling faster, more accurate decision-making. It helps triage patients efficiently, analyze medical data in real-time, and predict outcomes based on historical data, which can prioritize critical cases. AI-powered tools, like diagnostic imaging analysis and predictive algorithms, assist doctors in identifying conditions such as strokes or heart attacks earlier, improving survival rates. Additionally, AI enhances resource allocation and staff management in emergency departments, optimizing response times and reducing workload for healthcare providers.
Management of Postoperative Pain: Best Practices for GP’s
Effective management of postoperative pain is crucial for promoting recovery and preventing complications. General practitioners should start by assessing pain severity using appropriate scales, then tailor the treatment plan based on the patient's medical history and the type of surgery. A combination of pharmacological approaches, such as non-opioid analgesics (e.g., NSAIDs) and opioids when necessary, should be used to minimize pain while reducing the risk of addiction. Multimodal strategies, including physical therapy and non-pharmacological techniques like cold therapy or mindfulness, can further enhance pain relief. Close follow-up is essential to adjust the treatment as needed and ensure the patient's pain is well-controlled.
Author Post
Impact
+
Talks
+
webinar
+
no.of registrations
One liner about speaker
Why is speaker relevant?
Dr. Rishabh Kumar Mittal 's Talks on Assimilate
- 12th-October-2023, TIME : 06:30PM - 07:30PM
- 0
Ventilatory strategies in Acute Respiratory Distress Syndrome (ARDS) are crucial for optimizing oxygenation and minimizing further lung injury. Ventilating with low tidal volumes (6 mL/kg of predicted body weight or lower) reduces the risk of ventilator-induced lung injury (VILI). PEEP is used to maintain alveolar recruitment and improve oxygenation while preventing lung collapse during expiration. A lung-protective ventilation strategy combines low tidal volume and appropriate PEEP levels to minimize barotrauma and volutrauma. Prone positioning can be beneficial in ARDS patients by improving oxygenation and reducing ventilator-induced lung injury. Allowing for higher levels of carbon dioxide (permissive hypercapnia) may be necessary to avoid excessive ventilator pressures. Continuous monitoring of oxygenation, ventilation, and lung mechanics is essential to adjust ventilatory settings as needed. Individualized PEEP selection using techniques like the recruitment-to-inflation (R/I) ratio helps tailor ventilatory support to each patient's needs.
- 12th-October-2023, TIME : 06:30PM - 07:30PM
- 0
Ventilatory strategies in Acute Respiratory Distress Syndrome (ARDS) are crucial for optimizing oxygenation and minimizing further lung injury. Ventilating with low tidal volumes (6 mL/kg of predicted body weight or lower) reduces the risk of ventilator-induced lung injury (VILI). PEEP is used to maintain alveolar recruitment and improve oxygenation while preventing lung collapse during expiration. A lung-protective ventilation strategy combines low tidal volume and appropriate PEEP levels to minimize barotrauma and volutrauma. Prone positioning can be beneficial in ARDS patients by improving oxygenation and reducing ventilator-induced lung injury. Allowing for higher levels of carbon dioxide (permissive hypercapnia) may be necessary to avoid excessive ventilator pressures. Continuous monitoring of oxygenation, ventilation, and lung mechanics is essential to adjust ventilatory settings as needed. Individualized PEEP selection using techniques like the recruitment-to-inflation (R/I) ratio helps tailor ventilatory support to each patient's needs.
- 12th-October-2023, TIME : 06:30PM - 07:30PM
- 0
Ventilatory strategies in Acute Respiratory Distress Syndrome (ARDS) are crucial for optimizing oxygenation and minimizing further lung injury. Ventilating with low tidal volumes (6 mL/kg of predicted body weight or lower) reduces the risk of ventilator-induced lung injury (VILI). PEEP is used to maintain alveolar recruitment and improve oxygenation while preventing lung collapse during expiration. A lung-protective ventilation strategy combines low tidal volume and appropriate PEEP levels to minimize barotrauma and volutrauma. Prone positioning can be beneficial in ARDS patients by improving oxygenation and reducing ventilator-induced lung injury. Allowing for higher levels of carbon dioxide (permissive hypercapnia) may be necessary to avoid excessive ventilator pressures. Continuous monitoring of oxygenation, ventilation, and lung mechanics is essential to adjust ventilatory settings as needed. Individualized PEEP selection using techniques like the recruitment-to-inflation (R/I) ratio helps tailor ventilatory support to each patient's needs.
- 12th-October-2023, TIME : 06:30PM - 07:30PM
- 0
Ventilatory strategies in Acute Respiratory Distress Syndrome (ARDS) are crucial for optimizing oxygenation and minimizing further lung injury. Ventilating with low tidal volumes (6 mL/kg of predicted body weight or lower) reduces the risk of ventilator-induced lung injury (VILI). PEEP is used to maintain alveolar recruitment and improve oxygenation while preventing lung collapse during expiration. A lung-protective ventilation strategy combines low tidal volume and appropriate PEEP levels to minimize barotrauma and volutrauma. Prone positioning can be beneficial in ARDS patients by improving oxygenation and reducing ventilator-induced lung injury. Allowing for higher levels of carbon dioxide (permissive hypercapnia) may be necessary to avoid excessive ventilator pressures. Continuous monitoring of oxygenation, ventilation, and lung mechanics is essential to adjust ventilatory settings as needed. Individualized PEEP selection using techniques like the recruitment-to-inflation (R/I) ratio helps tailor ventilatory support to each patient's needs.