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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... SyndromeARDS ... Berlin criteria ... edema must be present ... Diagnosis #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Syndrome (ARDS) ... edema must be present ... lobar collapse, lung ... #Syndrome #Berlin ... Criteria #Diagnosis #CriticalCare
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... Acute respiratory distress ... syndrome (ARDS) ... Transfusion-related acute lung ... brain injury, cerebral
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Acute Respiratory Distress ... Syndrome JAMA ... increased 28-day all-cause ... Postoperative #Pulmonary ... #CriticalCare
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... pleura in severe cases ... Edema: - Widespread ... Acute Respiratory Distress ... Syndrome (ARDS)
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
The Berlin Definition ... Syndrome (ARDS) ... effusions, lobar/lung ... #Diagnosis #CriticalCare ... #Distress #Syndrome
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Berlin Criteria ... without other cause ... : 33% • Treatment ... , and CXR with pulmonary ... edema) • Fever
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
blood cells in the lung ... - Dyspnea at rest ... respiratory failure or ARDS ... edema can be caused ... #edema #causes
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
starting amiodarone treatment ... organizing pneumonia, ARDS ... acute respiratory distress ... syndrome) is rare ... macrophages Treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... acute coronary syndrome ... the determined cause ... #differential #algorithm ... heartfailure #chf #criticalcare