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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
: Clinical Cheat ... leading to increased pulmonary ... Berlin criteria ... detected on CT or CXR ... Diagnosis #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria ... for Acute Respiratory ... week of a known clinical ... collapse, lung ... #Diagnosis #CriticalCare
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Patients With Acute ... moderate to severe ARDS ... increased 28-day all-cause ... Postoperative #Pulmonary ... #CriticalCare
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... considered, like acute ... Pulmonary hemorrhage ... nodular interstitial lung ... #Radiology #CXR
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
: ARDS Berlin Criteria ... without other cause ... At least 3 of (Acute ... fluid balance, and CXR ... with pulmonary
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
In the proper clinical ... weight loss or long ... This was an acute ... #Clinical #Radiology ... #CXR #AirBronchogram
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... • A lack of acute ... ischemic changes CXR ... distress syndrome (ARDS ... lung injury (TRALI
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
smaller and fewer in number ... non-perfused vessels and causes ... In daily clinical ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
blood cells in the lung ... capillaries • Criteria ... of acute respiratory ... failure or ARDS ... Embolism: • Acute
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
by effusions, lobar ... /lung collapse, ... #Diagnosis #CriticalCare ... #ARDS #Acute #Respiratory ... Berlin #Definition #Criteria