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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
, inflammatory lung ... leading to increased pulmonary ... permeability, lung ... consistent with pulmonary ... Diagnosis #Management #CriticalCare
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
moderate to severe ARDS ... increased 28-day all-cause ... Recruitment #PEEP #ARDS ... Postoperative #Pulmonary ... #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
consistent with pulmonary ... lobar collapse, lung ... collapse, or pulmonary ... the hypoxemia defines ... Criteria #Diagnosis #CriticalCare
Oxygen Delivery by Device

Nasal Cannula 
• Indicated for low-flow, low-percentage supplemental oxygen. 
• Flow rate of
Oxygen Delivery by Device ... • Uses either ... a graduated dial ... Delivery #FiO2 #Pulmonary ... #Equipment #Devices
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Devices Simple ... uses a small valve ... Oxygen #Delivery #Devices ... #management #pulmonary ... #criticalcare
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Uncommon Causes ... blood cells in the lung ... respiratory failure or ARDS ... include depressed mental ... #edema #causes
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status NTM Cause ... Illnesses: • Pulmonary ... Growers (Runyon Classification ... Growers (Runyon Classification ... and prosthetic device
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Any implantable devices ... murmur 3/6) - Pulmonary ... Medical history ... ACEi/ARBs - Hold ... unless prior heart/lung
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre
Remove airway devices ... oxygen and face mask ... over-vigorous attempts at lung ... Consider other causes ... negative-pressure pulmonary