The Acute Respiratory Distress Syndrome - AACN

62 Pages·2014·1.62 MB·English

THE ACUTE RESPIRATORY
DISTRESS SYNDROME
Daniel Brockman, DO
Objectives
Describe the history and evolution of the diagnosis

of ARDS
Review the diagnostic criteria for ARDS

Discuss the primary interventions in ARDS

Address salvage therapies for severe hypoxia in

ARDS.
Case Presentations
A

23 year old male college student…

18 year old female…

60 year old male SNF resident…

40 year old female with an SBO

Case presentations
...is found down after ODing on Heroin.
…comes to the ICU after DCS for abdominal trauma
from an MVC.
…is sent to the ED with a fever and cough.
…vomits on the wards and collapses.
Next they
develop severe hypoxia.

And a CXR reveals
Or this
Or this
Or maybe it was a CT to r/o PE
Epidemiology
Approximately 190,000-200,000 cases annually

reported.
Incidence estimated to be 86 case per 100,000

Increased incidence in the elderly

306 case per 100,000

Estimated mortality between 30-40%.
