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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... – ARDS: Clinical ... sepsis-associated ARDS ... days after dx of ARDS ... #ARDS #Summary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... Respiratory Distress Syndrome ... (ARDS): - Bilateral ... submassive PE) POCUS ... #POCUS #ultrasound
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
(ARDS) - Respiratory ... week of a known clinical ... lobar collapse, lung ... severity of the ARDS ... >= 5cm H2O #ARDS
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... sliding: Pulmonary ... edema, ARDS, interstitial ... Lung POCUS shows ... #POCUS #clinical
Absent Lung Sliding on Lung POCUS
Absent Lung Sliding with B-mode does not just mean PTX. It
on Lung POCUS ... inflammation (ARDS ... #Sliding #POCUS ... #clinical #ultrasound ... #pulmonary
B-Lines on Lung POCUS

PE is LEAST likely to show B lines. Juxtaposition of fluid droplets &
B-Lines on Lung ... alveolar interstitial syndrome ... pulm edema, pna, ARDS ... #POCUS #clinical ... #Pulmonary #ultrasound
A-Lines vs B-Lines on Lung POCUS
A-Lines:
 • Predominately horizontal lines
 • A-lines are repeated horizontal &
POCUS A-Lines: ... Commonly seen in pulmonary ... edema, ARDS, pneumonia ... #POCUS #pulmonary ... #clinical #comparison
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... determine if stress test ... Change in clinical ... ACEi/ARBs - Hold ... unless prior heart/lung