Do we really need to limit tidal volume in everybody

Below is video recording of pro- con debate on this topic. See what you think and comment on the presentations.This was presented in Brussels during the ISICEM Symposium, March 2017.
It also raises the issue if we should look for " a middle of the road" solution by applying this strategy to only high risk -ARDS patients by using for example the LIPS score .
Is the right strategy in the middle, using a score trying to  identifying high risk patients, or should we take an all or nothing approach in non-ARDS hypoxemic respiratory failure?
Use earphones as the audio is not great. I am planning to edit with Camtasia Studio and attach separately recorded audio of higher quality. Stay tuned.



 

Is LIPS really predictive of ARDS..... look at the overlap in the slide in a surgical population