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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... , inflammatory lung ... leading to increased pulmonary ... consistent with pulmonary ... Diagnosis #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... consistent with pulmonary ... explained by pleural effusions ... lobar collapse, lung ... Criteria #Diagnosis #CriticalCare
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Possible small plural effusion ... Possible bilateral effusion ... the severity Acute ... Respiratory Distress ... Syndrome (ARDS)
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Patients With Acute ... Respiratory Distress ... moderate to severe ARDS ... Postoperative #Pulmonary ... #CriticalCare
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
• A lack of acute ... cardiac disease ... respiratory distress ... syndrome (ARDS) ... lung injury (TRALI
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
fully explained by effusions ... , lobar/lung collapse ... fully explained by cardiac ... #Diagnosis #CriticalCare ... #ARDS #Acute #Respiratory
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... exam Determine Cardiac ... ACEi/ARBs - Hold ... unless prior heart/lung ... postoperative cardiac
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
organizing pneumonia, ARDS ... exudative pleural effusions ... • Acute toxicity ... (e.g., acute respiratory ... distress syndrome
Total Anomalous Pulmonary Venous Return (TAPVR)

Here's the bedside Echo of an 8-week-old boy who presented to
to the ER with acute ... I've labeled the cardiac ... Blood from the Lungs ... Return #POCUS #Echocardiogram ... #Clinical #A4C