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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... or CXR ● PaO2/FiO2 ... there is no clear cause ... the underlying cause
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
should identify any cause ... surgery related cause ... check measured FiO2 ... o Aspiration, pulmonary ... Checklist #Diagnosis #Management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
should identify any cause ... check measured FiO2 ... POTENTIAL CAUSES ... o Aspiration, pulmonary ... Diagnosis #Workup #Management
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
A venturi mask uses ... 10-15 LPM • FiO2 ... 10-15 LPM • FiO2 ... Delivery #Devices #management ... #pulmonary #criticalcare
Oxygen Delivery by Device

Nasal Cannula 
• Indicated for low-flow, low-percentage supplemental oxygen. 
• Flow rate of
high percentage FiO ... retention of exhaled gases ... • Uses either ... #Pulmonary #Equipment ... #Devices #Management
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
- 6 L/min • FiO2 ... - 10 L/min • FiO2 ... - 15 L/min • FiO2 ... support #devices #management ... #pulmonary #comparison
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
A-a gradient = [FiO2 ... chest) • Low PiO2 ... Elevation, Low Fio2 ... Intracardiac, Pulmonary ... V/Q Mismatch: Pulmonary
Oxygen Delivery Systems and Approximate FiO2:
#Management #SupplementalO2 #Oxygen #Delivery #Devices #Interface #FiO2 #NonRebreather #HFNC #NasalCannula #Simple
and Approximate FiO2 ... : #Management # ... Devices #Interface #FiO2
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
consistent with pulmonary ... lung collapse, or pulmonary ... mm Hg < PaO2 / FiO2 ... mm Hg < PaO2 / FiO2 ... Severe - PaO2 / FiO2
Causes of Pulmonary Fibrosis

#Pulmonary #Fibrosis #Causes #Differential #Diagnosis
Causes of Pulmonary ... Fibrosis #Pulmonary ... #Fibrosis #Causes