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ARDS - Overview

M. Daniyal Hashmi, MD @MDaniyalHashmi1

#ARDS #Respiratory #Distress #Acute #Syndrome #Diagnosis #Management #CriticalCare #summary
#Respiratory #Distress ... #Acute #Syndrome ... #Diagnosis #Management ... #CriticalCare # ... summary
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... SyndromeARDS ... #ARDS #Summary ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Acute Respiratory Distress ... Syndrome (ARDS) ... lobar collapse, lung ... #Respiratory #Distress ... #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
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Acute Respiratory Distress ... Syndrome (ARDS) ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... • Diffuse Lung ... Acute Respiratory Distress ... Syndrome ... #HeartFailure #Cardiology
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 ... #cardiology
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
Acute Respiratory Distress ... Syndrome (ARDS) ... effusions, lobar/lung ... #CriticalCare # ... #Distress #Syndrome
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
Amiodarone Induced Lung ... Toxicity Summary ... organizing pneumonia, ARDS ... acute respiratory distress ... syndrome) is rare
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
to determine if stress ... one post op Cardiology ... unless prior heart/lung ... thoracic surgery Stress ... , preoperative stress