Acute respiratory distress syndrome: Difference between revisions
Jump to navigation
Jump to search
(Created page with "* ARDS - acute lung injury w/ PaO2/FIO2 < 200; * def: acute bilateral pul. Infiltrates + hypoxemia w/o ↑ left atrial filling pressure; * causes: sepsis, trauma w/ multiple transfusions, aspiration, diffuse pneumonia; * patho: diffuse alveolar damage w/ hyaline membranes and protein-rich edema fluid in alveoli; * PaO/FiO: ** mild 200-300; ** moderate 100-200; ** severe ≤100); * Tx: PEEP (“lung protective ventilation” = tidal volumes setting - 6 mL/kg...") |
No edit summary |
||
| Line 11: | Line 11: | ||
{{NoteBox|info}}<strong>Clinical Features of ARDS</strong> | {{NoteBox|info}}<strong>Clinical Features of ARDS</strong> | ||
# Acute onset | |||
- Bilateral infiltrates on frontal chest x-ray | |||
- PaO2/FIO2 ≤ 300 mm Hg | |||
- No evidence of left heart failure or fluid overload | |||
- The presence of a predisposing condition | |||
<i>NB! This differs from earlier definitions of ARDS, which required a PaO2/FIO2 ≤ 200 mm Hg for the Dx of ARDS</i><small>MORINIO ICU</small>{{NoteBoxEnd}} | <i>NB! This differs from earlier definitions of ARDS, which required a PaO2/FIO2 ≤ 200 mm Hg for the Dx of ARDS</i> <small>MORINIO ICU</small>{{NoteBoxEnd}} | ||
Revision as of 19:46, 3 March 2024
- ARDS - acute lung injury w/ PaO2/FIO2 < 200;
- def: acute bilateral pul. Infiltrates + hypoxemia w/o ↑ left atrial filling pressure;
- causes: sepsis, trauma w/ multiple transfusions, aspiration, diffuse pneumonia;
- patho: diffuse alveolar damage w/ hyaline membranes and protein-rich edema fluid in alveoli;
- PaO/FiO:
- mild 200-300;
- moderate 100-200;
- severe ≤100);
- Tx: PEEP (“lung protective ventilation” = tidal volumes setting - 6 mL/kg * ideal body weight; MOA: ↑ functional residual capacity)
Clinical Features of ARDS
- Acute onset
- Bilateral infiltrates on frontal chest x-ray - PaO2/FIO2 ≤ 300 mm Hg - No evidence of left heart failure or fluid overload - The presence of a predisposing condition
NB! This differs from earlier definitions of ARDS, which required a PaO2/FIO2 ≤ 200 mm Hg for the Dx of ARDS MORINIO ICU