National Guideline Acute Respiratory Distress Syndrome (ARDS) 

Overview

The Ministry of Health and Population (MoHP) has released a new guideline on National Guideline Acute Respiratory Distress Syndrome (ARDS).

Table of content

• Introduction
• Definition
• Epidemiology
• Etiology / Risk factors of ARDS
• Pathogenesis of ARDS
• COVID-19 and ARDS
• Clinical Features of ARDS
• Diagnostic Workup of a patient with ARDS
• Determining the Cause of ARDS
  Management
• Respiratory Support
• Oxygen Therapy
• Awake Self-proning
• High Flow Nasal Cannula (HFNC)
• Ventilatory Management
• Basics of Mechanical Ventilation
  – Protocol for Use of Neuromuscular Blocking Agents (NMBA)
  – Lung Protective Ventilation
  – Prone Position Ventilation
  – Troubleshooting
  – Newer Modes
  – Liberation from Mechanical Ventilation
  – Non-invasive Positive Pressure Ventilation (NIPPV)
• Rescue Therapy

• Pharmacological Therapy
• Fluid management in ARDS
• Routine care of Critically Ill Patient
  – Protocolized Bundles in ICU
  – VAP Bundle: Ventilator Associated Pneumonia Prevention Bundle
  – Central Line Bundle: Prevention of Catheter-Related Blood Stream Infections
  – ABCDE Bundle: Awakening and Breathing and Breathing Coordination, Delirium Monitoring /Management and Early Mobility (ABCDE) Bundle
  – Protocol for Use of Sedatives and Analgesics in ICU
  – Protocol for Delirium Monitoring and Management
  – Nutrition in Critically Ill Patient
  – Protocol for Prophylaxis of Venous Thromboembolism/Deep Vein Thrombosis (DVT)
  – Protocol for Use of Vasopressors and Inotropes
• Nursing Care of ICU Patients
• Long Term Outcome and Quality of Life After
• Care of the Terminally Ill Patient/ End of Life Care
• Rehabilitation in ARDS
• Integrating Gender, Equity and Human Rights (GER) in Clinical Management (CM) of COVID-19