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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
, inflammatory lung ... leading to increased pulmonary ... permeability, lung ... consistent with pulmonary ... or CXR ● PaO2/FiO2
High Flow Nasal Cannula
Putative beneficial mechanisms of high flow nasal cannula (HFNC) 
oxygen therapy. EELV, end-expiratory
end-expiratory lung ... volume; FiO2, inspiratory ... criticalcare #management ... #pulmonary
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 ... Embolism, Obstructive Lung ... , Interstitial Lung
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Flow 2-15 LPM • FiO2 ... 10-15 LPM • FiO2 ... 10-15 LPM • FiO2 ... Delivery #Devices #management ... #pulmonary #criticalcare
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
Oxygen Delivery by Device

Nasal Cannula 
• Indicated for low-flow, low-percentage supplemental oxygen. 
• Flow rate of
high percentage FiO ... set to desired FiO2 ... deliver desired FiO ... #Pulmonary #Equipment ... #Devices #Management
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
consistent with pulmonary ... lobar collapse, lung ... collapse, or pulmonary ... mm Hg < PaO2 / FiO2 ... mm Hg < PaO2 / FiO2
Oxygen Delivery Systems and Approximate FiO2:
#Management #SupplementalO2 #Oxygen #Delivery #Devices #Interface #FiO2 #NonRebreather #HFNC #NasalCannula #Simple
and Approximate FiO2 ... : #Management # ... Devices #Interface #FiO2
POCUS Lung Algorithm for the Use of Ultrasound in the Evaluation of Dyspnea 

#Diagnosis #Management #CriticalCare
POCUS Lung Algorithm ... #Diagnosis #Management ... Algorithm #Ddxof #Lung ... #Pulmonary
Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Lung Segment Anatomy ... Chest CT Right Lung ... Lung: • Upper ... lang=us #Lung # ... #CT #CTChest #pulmonary