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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... Berlin criteria ... edema must be present ... the underlying cause ... Diagnosis #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome ... edema must be present ... lobar collapse, lung ... #Distress #Syndrome ... Criteria #Diagnosis #CriticalCare
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... respiratory distress ... syndrome (ARDS) ... lung injury (TRALI ... brain injury, cerebral
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Patients With Acute ... Syndrome JAMA ... increased 28-day all-cause ... Postoperative #Pulmonary ... #CriticalCare
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura in severe cases ... Edema: - Widespread ... the severity Acute ... Respiratory Distress ... Syndrome (ARDS)
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
Distress Syndrome ... effusions, lobar/lung ... #Diagnosis #CriticalCare ... #ARDS #Acute #Respiratory ... #Distress #Syndrome
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
blood cells in the lung ... of acute respiratory ... failure or ARDS ... pulmonary edema ... #edema #causes
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Berlin Criteria ... without other cause ... At least 3 of (Acute ... , and CXR with pulmonary ... edema) • Fever
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
organizing pneumonia, ARDS ... pleural effusions • Acute ... toxicity (e.g., acute ... respiratory distress ... syndrome) is rare