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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 ... consistent with pulmonary ... RespiratoryDistress #Syndrome ... Diagnosis #Management #CriticalCare
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Patients With Acute ... Respiratory Distress ... Syndrome JAMA ... Postoperative #Pulmonary ... #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... Syndrome (ARDS) ... lobar collapse, lung ... #Distress #Syndrome ... Criteria #Diagnosis #CriticalCare
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
• Diffuse Lung ... Disease • Acute ... Respiratory Distress ... Syndrome ... #HeartFailure #Cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
• A lack of acute ... respiratory distress ... syndrome (ARDS) ... lung injury (TRALI ... differential #diagnosis #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Liver function tests ... 1 — Treat the lungs ... Revascularization, treatment ... for acute MI if ... #HeartFailure #Cardiology
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
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... test is indicated ... ACEi/ARBs - Hold ... one post op Cardiology ... unless prior heart/lung
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... coronary syndrome ... #differential #algorithm ... #management #cardiology ... heartfailure #chf #criticalcare