Title: American Thoracic Society (ATS) Conference Highlights<br/>Author: Feras Khan<br/><a href='http://umem.org/profiles/faculty/1145/'>[Click to email author]</a><hr/><p>
<span style="color:#ffffff;"><span style="background-color:#ff0000;">American Thoracic Society (ATS) Conference Highlights</span></span></p>
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The ATS conference was last week in San Francisco and a few cool articles were presented. They are briefly summarized below:</p>
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1. <span style="color:#000080;"> <strong>Using a helmet vs face mask for ARDS:</strong></span> Non-invasive ventilation is not ideal for ARDS for a variety of reasons. At the same time, endotracheal intubation and ventilation carries some risks as well. Could a new design of a "helmet" device make a difference? This one center study from the Univ of Chicago suggests that it would: <span style="background-color:#ffff00;">decreased rate of intubation</span>, <span style="background-color:#ffff00;">increase in ventilator free days</span>, and <span style="background-color:#ffff00;">decrease in 90 day mortality</span>. http://jama.jamanetwork.com/article.aspx?articleid=2522693</p>
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2. <span style="color:#000080;"><strong> Can aspirin prevent the development of ARDS in at risk patients in the emergency department? </strong></span>Unfortunately, it does not appear to help. http://jama.jamanetwork.com/article.aspx?articleid=2522739</p>
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3. <strong><span style="color:#000080;">Should you start renal-replacement therapy (HD, CRRT etc) in critically ill patients with AKI sooner or later?</span></strong> Seems to have no difference and may actually lead to patients not needing any dialysis. Really a great read if you have time. <a href="http://www.nejm.org/doi/full/10.1056/NEJMoa1603017?query=OF&">http://www.nejm.org/doi/full/10.1056/NEJMoa1603017?query=OF&</a></p>
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4. <strong><span style="color:#000080;">Should I extubate at night?</span></strong> Lastly, probably don’t extubate at night if you can avoid it. Or just be cautious. http://www.atsjournals.org/doi/abs/10.1164/ajrccmconference.2016.193.1_MeetingAbstracts.A6150</p>
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