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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
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Syndrome JAMA ... increased 28-day all-cause ... #EBM #VisualAbstract ... Postoperative #Pulmonary ... #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
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
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... ) Other tests: ... Goodpasture's cause ... sparing of the lung ... diagnosis #management #treatment
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