ARDS

Question 1

According to the berlin definition, what is the timing in which you can suspect the insult is ARDS?

Answer 1

in the insult is within 1 week or its new/worsening respiratory symptoms

Question 2

According to the berlin definition, what would a CXR of an ARDS patient look like?

Answer 2

Bilateral Opacities not fully explained by effusions, lobar/lung collapse, or nodules

Question 3

According to the berlin definition, if there is pulmonary edema, when would you suspect its ARDS?

Answer 3

Respiratory failure not fully explained by cardiac failure or fluid overload.
get an objective assessment like ECHO to rule out CHF

Question 4

What are direct causes of ARDS?

6 causes

Answer 4

Aspiration pneumonitis
Near drowning
Primary pneumonia
Smoke inhalation
Thoracic trauma
Pulmonary Embolism

Question 5

What are indirect causes of ARDS?

6 causes

Answer 5

Sepsis***
Non-thoracic trauma
Shock
Burns
Multiple transfusions
Acute Pancreatitis

Question 6

Describe what ARDS from a direct insult may look like

Answer 6

alveolar epithelium injury at first

Consolidation (alveolar filling) predominates, atelectasis is scarcer

Question 7

Describe what ARDS from a indirect insult may look like

Answer 7

Atelectasis predominates, consolidation is less

Mean improvement in PaO2 post RM was 5X times greater than pulmonary ARDS

PGI works more effectively