Kathleen M Vollman, MSN, RN, CCNS, FCCM, FCNS, FAAN
As a global ICU community, we misdiagnose ARDS 30% of the time and only 60% of the time apply the correct tidal volume to prevent lung injury. Without successful early recognition and diagnosis, prompt application of the latest evidence is impossible. The session begins by outlining a more detailed definition and exploration of the pathophysiologic processes in ARDS. A critical analysis of multidisciplinary evidence-based supportive treatments is discussed using a structured technique of the 8 Ps (prevention, PEEP, pipes and pump, paralysis, positioning, protein and protocol-based care). A case study is used to help participants apply the learnings. The ARDS patient is complicated, and proficient nurses need to understand the new evidence and be able to readily move it into practice to ensure the ARDS patient not only survives their ICU stay, but is able to successfully integrate back into their home and community.