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Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
A-a gradient = PAO2 ... - PaO2 A-a gradient ... /0.8)] - PaO2 Simplified ... /0.8)] - PaO2 Normal ... : Atelectasis, ARDS
PROSEVA definition of ARDS Thus, the PROSEVA trial essentially modifies the Berlin definition of ARDS, with the
definition of ARDS ... definition of ARDS ... requirement that the PaO2 ... requires that the PaO2 ... #CriticalCare #ARDS
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 Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
Distress Syndrome (ARDS ... severity of the ARDS ... - 200 mm Hg < PaO2 ... - 100 mm Hg < PaO2 ... >= 5cm H2O #ARDS
Mechanical ventilation in obese patients according to the i-STAR Algorithm Intubate • Anticipate difficult airway management and
5 cmH20 in non-ARDS ... and non-ARDS) ... > 7.25 in non-ARDS ... and ARDS, tolerate ... minimal to keep PaO2
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome • Timing - within one week of
Understanding & Treating ARDS ... Impaired Oxygenation PaO2 ... @nickmmark #ARDS
ABG vs VBG: Arterial vs Venous Blood Gases ABG PROS: Tells you exactly what the arterial environment looks
looks like (pH, PaCO2 ... #Correlation #Comparison ... #pH #pCO2 #Diagnosis
Hypoxemia vs Hypoxia Hypoxemia - Partial pressure of arterial oxygen (PaO2) is below normal Hypoxia - Insufficient oxygen
arterial oxygen (PaO2 ... compensate for low PaO2 ... differential #diagnosis #comparison
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... on CT or CXR ● PaO2 ... sepsis-associated ARDS ... days after dx of ARDS ... RespiratoryDistress #Syndrome #ARDS
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS Cardiogenic Pulmonary Edema: • Smooth pleural line • AIS >
Pulmonary Edema vs ARDS ... pulmonary edema / ARDS ... UAlberta_Sono #APE #ARDS ... pulmonary #edema #comparison
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 Oxygen Saturation - Measurement Techniques and Limitations • Sp02 - Cutaneous pulse oximeter • SaO2 Calculated
pulse oximeter • SaO2 ... ABG device • SaO2 ... pulmonary #diagnosis #comparison
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