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KEYNOTE LECTURE ~ LUCIANO GATTINONI

KEYNOTE LECTURE ~ LUCIANO GATTINONI

ARDS: SHIFTING FROM PATHOPHYSIOLOGY TO EVIDENCE. PROGRESS OR REGRESSION? 

For anyone who has heard him speak, it needn't be said that prized respiratory expert Luciano Gattinoni can command any audience. In this Keynote Lecture, Gattinoni will lend his unique perspective to a particular area of his expertise - ARDS. He will provide a overview of the physiology behind clinical decisions in ARDS treatment and discuss how best to merge evidence-based knowledge and physiology at the bedside.

The title of this presentation is very key, notes Gattinoni: "ARDS: Shifting from Pathophysiology to Evidence. Progression or Regression?". It is in recognition of the evolution and the need for further evolution in our clinical approach. 

The way of ventilating the ARDS lung has deeply changed over the last 30 years, primarily due to a better understanding of physiological mechanisms involved in mechanical ventilation, as well as heart and lung interactions and also in a generation of ventilator induced lung injury. All of this has led to a "gentle lung ventilation" approach, which, although proposed years before, became evident only after a large randomised trial. 


Evidence is the final step of a long journey. Lack of evidence of promising and physiologically sound approach should not discourage the application in the single patient. ~Luciano Gattinoni

Understanding mechanisms is the basis of medical reasoning. The lack of application of physiological sound approaches just "because evidence is lacking" may be a disadvantage for a single patient. As an example, notes Gattinoni, we have lost more than 30 years of potential benefits from the use of prone positioning, a concept which was clearly evident from a physiological perspective, just because "clinical evidence" was not available.

Start your final day with this interesting and inspiring talk from on of ICM's top experts...

Keynote Lecture ~ 

ARDS: SHIFTING FROM PATHOPHYSIOLOGY TO EVIDENCE. PROGRESS OR REGRESSION?

     Wednesday October 9th 2013, 08:00-08:30, Room Paris


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