Essay --

Acute respiratory distress syndrome ( white lung) is a fatal condition, associated with a noble mortality rate and it is difficult to treat. Amend hypoxia, enhance respiratory mechanics in hostel to optimize gas exchange are the principal(prenominal) goals in treating ARDS patients. Management of patient with ARDS secondary to dream damage in burns intensive care unit (BICU) is including automatic ventilator support, pharmacological adjuncts and extracorporeal membrane oxygenation (ECMO) support. Prone nonplusing act as an adjunctive treatment in treating ARDS patients was acknowledged by many an(prenominal) journal articles and also was mentioned in our respiratory failure and ARDS lecture. It improves oxygenation in most of the patients with ARDS. As mentioned in the lecture, until recently, no convincing evidence shows that given positioning would help with better mortality rate. Meanwhile prone position is not practicing for ARDS patients in BICU in Singapore cod to authoritative complications. Content ARDS is a life threatening condition, various definitions sustain been proposed. Fast diagnose improves the effect of treatment. However, till the year of 1994, The North American-European Consensus meeting (NAECC) published the criteria for diagnosis of ARDS (Appendix I). Carlson, Good, Kirkwood, and Schulman (2009) stated that the clinical presentation of ARDS including bilateral pulmonary infiltrates, acute onset of hypoxia resistant to supplemental oxygen, tachypnea, and rock-bottom alveolar compliance. It is important to point out that ARDS is not a disease but a syndrome. It is associated with underlying clinical disease such(prenominal) as pneumonia, trauma or sepsis. As mentioned in the lecture, Inhalation injury is one of the common causes of direct lung injury ... ...limit damage from fibrin deposition in the alveolar space and microcirculation in ARDS. It is safe and effective in trim lung injury (Miller, Rivero, Ziad, Smith & El amin, 2009). Nebulized heparin and acetylcysteine is usually prescribed for post dream burned patients for five to seven days during the hospital stay. In order to reduce oxidants stress and airway obstruction caused by fibrin casts, the using of bronchodilators, anticoagulants, antioxidants and corticosteroids was examine and approved by researchers. The study also shows that heparin nebuliazation may grant pulmonary anticoagulation to absorb the fibrin cast. It is a common practice to administer nebulized N-acetylcysteine in alternation with heparin in BICU post inhalation burn injury due to the efficient antioxidant and mucolytic effects. ( Elsharnouby, Eid, Elezz, and Aboelatta, 2014).