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ARDS update 23rd April 2015
Fang Gao
In this talk, I will cover new definitions of ARDS, stepwise approach to treatment of ARDS before to
discuss why not use of beta-2 for ARDS.
Overcoming the limitations of the old definition, the new Berlin definition of ARDS clearly defines
the timing, use of CXR or CT as well as ARDS and cardiac failure may co-exist. The Berlin definition
removed the term acute lung injury, instead divided severity of hypoxemia into 3 levels: mild,
moderate and severe with clear cutoff values and minimum PEEP of 5, which is associated with
different ICU mortality. The Berlin definition however is still far from perfect.
I will discuss the stepwise approaches and evidenced based interventions for treatment of ARDS for
their severity. I’ll then present our Balti-2 trial to demonstrate harmful effects of use iv salbutamol
infusion in ARDS patients.