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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... leading to increased pulmonary ... Berlin criteria ... the underlying cause ... Diagnosis #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria ... Distress Syndrome ... lobar collapse, lung ... #Distress #Syndrome ... Criteria #Diagnosis #CriticalCare
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
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... • Diffuse Lung ... Disease • Acute ... Respiratory Distress ... Syndrome
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... pleura in severe cases ... the severity Acute ... Respiratory Distress ... Syndrome (ARDS)
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 ... edema (Traumatic brain
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
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acute or chronic ... D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... or restrictive lung ... Diagnosis #Summary #Nephrology
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