He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.Īfter finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. Ĭhris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. Positive End Expiratory Pressure (PEEP).Acute Respiratory Distress Syndrome (ARDS).T-piece, trache collar or pressure support of 120%.if criteria met conduct a Spontaneous Breathing Trial:.Pplat >30 cmH20 allowed if TV 4 mL/kg IBW and pH 90 mmHg without pressors.aim for plateau pressure (Pplat) 25 cmH20 or TV of 6 mL/kg PBW.increase PEEP with increasing FiO2 (5-24 cmH2O) according to a sliding scale (see table below).Note that the definitions of ALI and ARDS have been revised – however they are included here as they were used in the ARDSNet trial. Open lung approaches to ventilation typically use higher PEEP settings than the ARDSnet Ventilation Strategy.ARDSnet Ventilation Strategy is practical and can be used at the bedside.provides a sliding scale approach to the optimisation of FiO2 and PEEP, based on oxygenation (though the optimisation of PEEP is controversial).key study underpinning the protective lung ventilation approach, which has since been extended to the safe ventilation of non-ARDS patients.The ARDSNet ARMA study is one of the pivotal clinical trials in critical care and established the current standard of care for mechanical ventilation
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