ARDS NEJM article

Question 1

Give berlin Def

Answer 1

Question 2

Risk factors ?

Answer 2

Direct and indirect lung injury factors

Question 3

Pathogenesis

Answer 3

Question 4

Mimic ARDS?

Answer 4

Question 5

Treatment

Answer 5

Supportive :
1. Identify cause
2. Lung protective ventilation
3. Conservative fluid mx

Clinical practice guidelines endorsed by multiple
professional societies32 recommend invasive
mechanical ventilation after a lowering of the
tidal volume and airway pressure. Tidal volumes
are reduced from 6 ml per kilogram of predicted
body weight to a minimum of 4 ml per kilogram if plateau airway pressures exceed 30 cm of water
RR may be increased
PEEP- 5
Prone in mod to severe ARDS
NM blocking mod to severe ARDS
ECMO

Pharmacologic? NON
Prevention