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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... Berlin criteria ... consistent with pulmonary ... objective assessment“ (e.g ... Diagnosis #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria ... consistent with pulmonary ... lung collapse, or pulmonary ... Berlin #Definition #Criteria ... #Diagnosis #CriticalCare
TRALI Diagnostic Criteria
TRALI type 1 - Patients who have no risk factors for ARDS and meet
TRALI Diagnostic Criteria ... the following criteria ... evidence of bilateral pulmonary ... edema on imaging (eg ... #pulmonary #criticalcare
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
Hypertensive Emergency criteria ... hypertension (e.g ... - Pulmonary edema ... Diagnosis #Algorithm #CriticalCare
Volume Assist/Control Mechanical Ventilation
How does this mode work?
 • Delivers a set volume of air with
• TV- Use 8cc/kg ... patients with ARDS ... starting at 6cc/kg ... ventilation #AC #criticalcare ... #pulmonary
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... cardiomyopathy • Pulmonary ... Avoid ARBs • ICD ... teratogenic GDMT meds ... (e.g., ACE/ARB)
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... indicated • EKG ... Obtain EKG if: ... ACEi/ARBs - Hold ... days before Pulmonary
Post Proning Nursing Checklist
Head/Face: 
 - Check ETT/tracheostomy is accessible/not kinked (ETT cm at teeth …..)
- Dermal gel pads ... between legs Arms ... lines patent - ECG ... #Post #Prone #CriticalCare
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
Distress Syndrome (ARDS ... objective assessment (eg ... #Diagnosis #CriticalCare ... #ARDS #Acute #Respiratory ... Berlin #Definition #Criteria
Type L:
 - Low elastance. The nearly normal compliance indicates that the amount of gas in
this stage, the pulmonary ... weight (> 1.5 kg ... magnitude of severe ARDS ... , as in severe ARDS ... Giuseppe Citerio