?? Paper of the day
Prashant Nasa
ICU Physician - Co-editor: Rational use of IV Fluids in Critically ill (link in bio)- PROVE Network - Delphi Methodology - Fluid and Oxygen are Drugs - X: @drnasap
Dyspnoea in acutely ill mechanically ventilated adult patients: an ERS/ESICM statement
Published in Intensive Care Medicine
Summary:
This article discusses a statement from the European Respiratory Society (ERS) and the European Society of Intensive Care Medicine (ESICM) on the prevalence, clinical significance, diagnosis, and management of dyspnoea in critically ill, mechanically ventilated adult patients. It emphasizes the need for identifying, preventing, and relieving dyspnoea in mechanically ventilated patients and highlights the complexities associated with dyspnoea, including its potential impact on patients' emotional and psychological well-being.
?? takeaways:
1. Dyspnoea is a distressing experience for mechanically ventilated patients, with approximately 40% of patients reporting it during invasive mechanical ventilation in the intensive care unit.
2. The article highlights the complexity of dyspnoea, the challenges in identifying and assessing it in mechanically ventilated patients, and the need for a multidisciplinary approach to address this issue.
3. It suggests the importance of considering dyspnoea as an autonomous entity, requiring brain-oriented management in addition to addressing underlying physiological conditions.
Counter arguments:
1. The article does not delve into specific treatment strategies or interventions for dyspnoea in mechanically ventilated patients.
2. It does not address potential limitations or controversies surrounding the proposed framework and semantics for dyspnoea in the ICU.