Back to the Drawing Board on ARDS

Prone positioning in severe ARDS now debated: some feel it can be more harmful than beneficial - has the pendulum swung? If so, there is no particular therapy left for ARDS - discussions at @ISICEM - #ISICEM19

— Jean-Louis Vincent (@jlvincen) March 6, 2019

I suspect with further studies we will see regression to the mean ....and proning likely may improve oxygenation but not mortality , similar as we saw in the ARDS Network with higher Tidal Volumes : improved oxygenation with higher tidal volumes but over time a higher mortality