Key PrinciplesPrompt resuscitation and treatment of the underlying causeConsider early intubation and mechanical ventilation in moderate to severe ARDSVentilation with a lung-protective strategyUse of prone positioning, NMBs and APRV as required Initial Resuscitation...
Stage 1 Stage 2 Stage 3 X-ray May have a latent period of 24-48 hours with a normal appearanceRapid progression of bilateral infiltrates:Resemble pulmonary oedemaMaybe more peripheral than centralGravitational gradient usually presentCoalesce to form diffuse...
To Determine Diagnosis Clinical Diagnosis (Berlin Criteria) - all 4 of:PaO2/FiO2 ratio ≤300Acute onset (within 1 week of known clinical insult)Bilateral opacities on CXR (not explained by effusions, collapse, or nodules)Respiratory failure not fully explained by...
There is a broad range of conditions that can mimic ARDS Particularly important as many have a specific treatment with proven benefit Infective Cryptogenic Malignant Vascular Bacterial Viral Fungal Parasitic Miliary Tuberculosis CytomegalovirusHerpes...
Symptoms History of shortness of breath universalOthers symptoms relate to predisposing condition Parenchymal Respiratory: TachypneoaDiffuse cracklesCyanosisCardiovascular: TachycardiaSweatingCNS...
