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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... SyndromeARDS ... leading to increased pulmonary ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Acute Respiratory Distress ... Syndrome JAMA ... moderate to severe ARDS ... Postoperative #Pulmonary ... #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Syndrome (ARDS) ... lobar collapse, lung ... #Syndrome #Berlin ... Definition #Criteria #Diagnosis ... #CriticalCare
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... Acute Respiratory Distress ... Syndrome (ARDS) ... sliding Pulmonary ... #differential #diagnosis
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... Acute respiratory distress ... syndrome (ARDS) ... Transfusion-related acute lung ... #differential #diagnosis
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
in HIV-AIDS Bacterial ... organism identified, Strep ... failure, COPD, Lung ... Infections #HIVAIDS #workup ... #diagnosis #evaluation
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
Syndrome (ARDS) ... effusions, lobar/lung ... >= 5cm H2O #Diagnosis ... #CriticalCare # ... #Distress #Syndrome
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... ACEi/ARBs - Hold ... days before Pulmonary ... unless prior heart/lung ... stratification #diagnosis
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
Amiodarone Induced Lung ... Direct cytotoxic lung ... organizing pneumonia, ARDS ... acute respiratory distress ... syndrome) is rare
Preterm Infant Complications - Differential Diagnosis
Respiratory:
 • Transient Tachypnea of the Newborn (TTN)
 • Respiratory Distress
- Differential Diagnosis ... • Respiratory Distress ... Syndrome (RDS) ... • Chronic Lung ... Enterocolitis (NEC) Neurologic