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Treatment of acute respiratory distress syndrome using the recommendations of the Brazilian Consensus of Sepsis in an ICU of a teaching hospital

Introduction

The acute respiratory distress syndrome (ARDS) is a clinical syndrome that affects both medical and surgical patients. Despite improvements in respiratory support, ARDS in critically ill patients is associated with mortality rates of between 40% and 65%. The Brazilian Consensus of Sepsis has recently proposed ventilation strategies that include low tidal volumes, high PEEP levels and recruitment maneuvers to increase the homogeneity of inflation of the lung.

Objective

To determine the frequency of ARDS and to describe the outcome adopting the recommendations of the Brazilian Consensus of Sepsis.

Methods

All patients in the early phase of ARDS, defined according to the criteria of the American-European Consensus Conference, admitted from January 2004 to December 2004 were evaluated from a database that includes demographic data, APACHE II score, ICU and hospital length of stay, and ICU and hospital mortality. All patients were ventilated according to the recommendations of the Brazilian Consensus of Sepsis.

Results

From 938 admissions during the study period, 26 patients developed ARDS (2.77%). The mean age of this group of patients was 50 ± 22 years, and their mean APACHE II score was 20 ± 6 with a predicted mortality of 35.4%. The length of stay and mortality in the ICU were 17 ± 3 days and 61.5%, respectively, and the length of stay and mortality in hospital were 22 ± 13 days and 73.1%, respectively. The main cause of death was multiple organ dysfunction syndrome.

Conclusions

The frequency of ARDS was 2.77% in the study population. The hospital length of stay of these patients tended to be long. The hospital mortality of this group of patients was 73.1%.

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Grion, C., Kauss, I., Cardoso, L. et al. Treatment of acute respiratory distress syndrome using the recommendations of the Brazilian Consensus of Sepsis in an ICU of a teaching hospital. Crit Care 9 (Suppl 2), P92 (2005). https://doi.org/10.1186/cc3636

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  • DOI: https://doi.org/10.1186/cc3636

Keywords

  • Teaching Hospital
  • Tidal Volume
  • Organ Dysfunction
  • Hospital Mortality
  • Acute Respiratory Distress Syndrome