Publication:
Evolution of Acute Respiratory Distress Syndrome in Emergency and Critical Care: Therapeutic Management before and during the Pandemic Situation.

dc.contributor.authorGranados-Bolivar, Monserrat E
dc.contributor.authorQuesada-Caballero, Miguel
dc.contributor.authorSuleiman-Martos, Nora
dc.contributor.authorRomero-Béjar, José L
dc.contributor.authorAlbendín-García, Luis
dc.contributor.authorCañadas-De la Fuente, Guillermo A
dc.contributor.authorCaballero-Vázquez, Alberto
dc.date.accessioned2023-05-03T14:14:00Z
dc.date.available2023-05-03T14:14:00Z
dc.date.issued2022-05-28
dc.description.abstractBackground and Objectives: Acute respiratory distress syndrome is a life-threatening lung condition that prevents enough oxygen from getting to the lungs and blood. The causes can be varied, although since the COVID-19 pandemic began there have been many cases related to this virus. The management and evolution of ARDS in emergency situations in the last 5 years was analyzed. Materials and Methods: A systematic review was carried out in the PubMed and Scopus databases. Using the descriptors Medical Subject Headings (MeSH), the search equation was: "Emergency health service AND acute respiratory distress syndrome". The search was conducted in December 2021. Quantitative primary studies on the care of patients with ARDS in an emergency setting published in the last 5 years were included. Results: In the initial management, adherence to standard treatment with continuous positive airway pressure (CPAP) is recommended. The use of extracorporeal membrane reduces the intensity of mechanical ventilation or as rescue therapy in acute respiratory distress syndrome (ARDS). The prone position in both intubated and non-intubated patients with severe ARDS is associated with a better survival of these patients, therefore, it is very useful in these moments of pandemic crisis. Lack of resources forces triage decisions about which patients are most likely to survive to start mechanical ventilation and this reflects the realities of intensive care and emergency care in a resource-limited setting. Conclusions: adequate prehospital management of ARDS and in emergency situations can improve the prognosis of patients. The therapeutic options in atypical ARDS due to COVID-19 do not seem to vary substantially from conventional ARDS.
dc.identifier.doi10.3390/medicina58060726
dc.identifier.essn1648-9144
dc.identifier.pmcPMC9229826
dc.identifier.pmid35743989
dc.identifier.pubmedURLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9229826/pdf
dc.identifier.unpaywallURLhttps://www.mdpi.com/1648-9144/58/6/726/pdf?version=1654076862
dc.identifier.urihttp://hdl.handle.net/10668/21424
dc.issue.number6
dc.journal.titleMedicina (Kaunas, Lithuania)
dc.journal.titleabbreviationMedicina (Kaunas)
dc.language.isoen
dc.organizationHospital Universitario Virgen de las Nieves
dc.organizationMetropolitano de Granada
dc.pubmedtypeJournal Article
dc.pubmedtypeReview
dc.pubmedtypeSystematic Review
dc.rightsAttribution 4.0 International
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCOVID-19
dc.subjectpneumonia
dc.subjectpre-hospital care
dc.subjectrespiratory distress syndrome
dc.subjectsystematic review
dc.subject.meshCOVID-19
dc.subject.meshCritical Care
dc.subject.meshHumans
dc.subject.meshPandemics
dc.subject.meshRespiration, Artificial
dc.subject.meshRespiratory Distress Syndrome
dc.titleEvolution of Acute Respiratory Distress Syndrome in Emergency and Critical Care: Therapeutic Management before and during the Pandemic Situation.
dc.typeresearch article
dc.type.hasVersionVoR
dc.volume.number58
dspace.entity.typePublication

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