| |
|
|
|
| E 1:2) No difference in gas exchanged, hemodynamics, and plateau pressure; No difference in outcome w/ ARDS pts randomized to pressure control vs volume cycled PC(n=37 |
|
|
|
|
| Acute Interstitial Pneumonia (AIP) Acute Eosinophilic Pneumonia . Acute BOOP . DAH . Acute HP |
|
|
|
|
| CT, MRI; Sputumbacteriology, serology; Laboratory testing; ECG, US (TEE?) Acute lung injury, Acute respiratory distress syndrome (ALI/ARDS) … |
|
|
|
|
| Inhalation of Endothelin receptor antagonists. 1. Inhaled Nitric OxideIn ARDS – increased Endothelin levels. Vasoconst.®ETA ENDOTHELIN ... |
|
|
|
|
| Clinical Phases . I. Injury Phase ; II. Latent/Lag Phase ; III. ARF Phase ; IV. Recuperative/Terminal Phase |
|
|
|
|
| Sepsis; Non-thoracic trauma; Burns; Hemorrhage; Multiple transfusions; Post arrest; Bowel infarction; Anaphylaxis; Pancreatitis; Uremia, toxins, eclampsia; Drugs |
|
|
|
|
| Hemodynamics . Inotropes as indicated by cardiac index/output . Dobutamine is usually the first choice . Best PEEP = in PaO2 and SaO2 but |
|
|
|
|
| ????????? (acute respiratory distress syndrome, ARDS ) ????????????( adult respiratory distress syndrome |
|
|
|
|
| Pulmonary edema from left heart failure; Diffuse alveolar hemorrhage; Acute eosinophilic pneumonia; Lupus pneumonitis; Acute interstitial pneumonia; Pulmonary alveolar proteinosis |
|
|
|
|
| Physiology of Injury . Pulmonary; Geriatric chest trauma can likely lead to ARDS due to decreased chest wall compliance ; COPD is common ailment in the elderly |
|
|