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Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Understanding & Treating ... ARDS - Acute Respiratory ... Distress Syndrome ... #Acute #Syndrome ... #Diagnosis #Management
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 ... RespiratoryDistress #Syndrome
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
Medication-induced ILD: Amiodarone ... • Idiopathic pulmonary ... pneumonia (DIP), Acute ... Churg Strauss syndrome ... Eosinophilic pneumonia: Acute
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Patients With Acute ... Respiratory Distress ... Syndrome JAMA ... moderate to severe ARDS ... Postoperative #Pulmonary
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... Syndrome (ARDS) ... consistent with pulmonary ... lobar collapse, lung ... #Distress #Syndrome
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... the severity Acute ... Respiratory Distress ... Syndrome (ARDS) ... sliding Pulmonary
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
organizing pneumonia, ARDS ... toxicity (e.g., acute ... respiratory distress ... syndrome) is rare ... #diagnosis #management
Pharmacologic Management of ARDS

Acute Respiratory Distress Syndrome (ARDS) - Berlin Definition
Mechanical Ventilation - Minimizing "Baro trauma"
Fluid
of ARDS Acute ... Respiratory Distress ... Syndrome (ARDS) ... Neuromuscular Blockade Pulmonary ... #pulmonary
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Sighing Respiration ... hyperventilation syndrome—a ... In lung disease ... #Pulmonary #Abnormalities ... Abnormal #Diagnosis #PhysicalExam
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
• A lack of acute ... Etiology: • Acute ... respiratory distress ... syndrome (ARDS) ... lung injury (TRALI