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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... , inflammatory lung ... leading to increased pulmonary ... consistent with pulmonary ... Diagnosis #Management #CriticalCare
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Acute Respiratory Distress ... moderate to severe ARDS ... increased 28-day all-cause ... Postoperative #Pulmonary ... #CriticalCare
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the lung ... non-perfused vessels and causes ... during a period of CHF ... Radiology #CXR #CHF ... Redistribution #RadiologyAssistant
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Syndrome (ARDS) ... consistent with pulmonary ... lobar collapse, lung ... collapse, or pulmonary ... Criteria #Diagnosis #CriticalCare
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... pleura in severe cases ... Acute Respiratory Distress ... Syndrome (ARDS) ... sliding Pulmonary
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Algorithm Cardiac Causes ... • Diffuse Lung ... Acute Respiratory Distress ... • Chronic Lung ... Veno-Occlusive Disease #RHF
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
without other cause ... of ARDS to explain ... : Age>60, CKD, CHF ... of (Acute resp distress ... , and CXR with pulmonary
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Noncardiogenic Pulmonary ... Causes include: ... Acute respiratory distress ... syndrome (ARDS) ... Transfusion-related acute lung
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... In the lungs LV ... disease and causes ... a patient with CHF ... Findings #Diagram #RadiologyAssistant
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... ACEi/ARBs - Hold ... days before Pulmonary ... unless prior heart/lung