Padjadjaran Acute Care Nursing Journal (PACNJ)
Vol 2, No 2 (2021): Padjadjaran Acute Care Nursing Journal

Management of Acute Respiratory Distress Syndrome (ARDS) patients: A Literature Review

Etika Emaliyawati (Faculty of Nursing Universitas Padjadjaran)
Hamidah Nurhalimah (Faculty of Nursing Universitas Padjadjaran)
Hesty Adha (Faculty of Nursing Universitas Padjadjaran)
Inas Shintia Balqis (Faculty of Nursing Universitas Padjadjaran)
Ismailah Alam (Faculty of Nursing Universitas Padjadjaran)
Michael Mochamad Danny (Faculty of Nursing Universitas Padjadjaran)
Novarina Ismayani Anumilah (Faculty of Nursing Universitas Padjadjaran)
Rahdatul Aisyiyah (Faculty of Nursing Universitas Padjadjaran)



Article Info

Publish Date
03 Aug 2021

Abstract

In general, Acute Respiratory Distress Syndrome or ARDS is acknowledged to be the cause of 10% opatients requiring ICU care, and about 3 million patients worldwide experience it. Despite the data, up to these days there haven’t been many treatments that are considered to be effective in preventing or treating ARDS.This research is a literature review with a narrative approach in which the researchers analyze several research articles.  The present study aims to analyze the management of ARDS in reducing mortality, improving lung function and airway effectiveness. The articles were searched based on the publication year 2016-2020, with the keywords “Acute Respiratory Distress Syndrome” AND “Oxygen Saturation”, “Acute Respiratory Distress Syndrome” AND “Treatment”, “Acute Respiratory Distress Syndrome” AND “Management”; as well as the databases of PubMed, EBSCO and American Journal of Clinical Pathology.Based on the 14 articles selected using inclusion criteria, it was found that there were 8 treatments given to the ARDS patients to reduce mortality, namely Non-Invasive Ventilation (NIV), the use of corticosteroids, UC-MSC (umbilical cord mesenchymal stem cells), oxygen therapy, mechanical ventilation, HFNC, prone position, open lung approach (OLA), and simvastatin.Of the 8 analyzed treatments, 3 interventions were found to have the highest significance of improvement in lung function and quality improvement in several indicators such as decreased mortality rate, increased saturation, decreased hospitalization time, etc. These interventions were: (1) Non-Invasive Ventilation (p value <0.001); (2) simvastatin (p value <0.001); (3) Corticosteroid (methylprednisolone) (p value <0.001).

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Journal Info

Abbrev

pacnj

Publisher

Subject

Health Professions Nursing

Description

Description: Padjadjaran Acute Care Nursing Journal (PACNJ) is a scientific nursing journal that publishes by the Faculty of Nursing, Universitas Padjadjaran. The PACNJ is published as a means for sharing research findings and development in nursing knowledge. The scope of the PACNJ is nursing and ...