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Dang Thanh Tuan
Dang Thanh Tuan
Health & Medicine
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A R D S
Adult Respiratory distress Syndrome (ARDS) ,[object Object],[object Object],[object Object]
欧美 ARDS 联席会议 ,[object Object],[object Object]
New and Improved Adult Respiratory Distress Syndrome Acute Respiratory Distress Syndrome
Introduction ,[object Object]
Risk Factors in ARDS ,[object Object]
Clinical Disorders Associated with ARDS
[object Object]
ARDS: PaO 2 /FIO 2 <= 200mmHg PCWP <= 18 mmHg or no clinical evidence of increased left Atrial pressure Bilateral alveolar Or interstitial infiltrates Acute ALI: PaO2 /FIO2 <= 300mmHg Absence of Left Atrial Hypertension Chest Radiograph Onset Oxygenation ARDS ALI and Criteria for Diagnostic
[object Object]
Etiology ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Course and Pathophysiology ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Exudative Phase ,[object Object],[object Object],[object Object]
 
 
[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
ARDS:CT Scan View
Proliferative Phase ,[object Object],[object Object],[object Object]
[object Object],[object Object]
Fibrotic Phase ,[object Object],[object Object]
ARDS : Diminished Surfactant Activity ,[object Object],[object Object],[object Object],[object Object]
 
 
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
 
Acute Respiratory Distress: Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MANAGEMENT OF ARDS ,[object Object],[object Object],[object Object],[object Object]
Management of Mechanical Ventilation ,[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object]
Prevention of Alveolar Collapse ,[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object]
Other Strategies in Mechanical Ventilation ,[object Object],[object Object]
Fluid Management ,[object Object],[object Object]
[object Object]
Glucocorticoids ,[object Object],[object Object],[object Object]
[object Object],[object Object]
Other Therapies ,[object Object]
Recommendations ,[object Object]
D Surfactant replacement, inhaled nitric oxide, and other antiinflammatory therapy (e.g., ketoconazole, PGE 1 , NSAIDs)   C Glucocorticoids B Minimize left atrial filling pressures D    High-frequency ventilation and ECMO C    Recruitment maneuvers C    Prone position C    High-PEEP or &quot;open-lung&quot; A    Low tidal volume   Mechanical ventilation: Recommendation a   Treatment
Prognosis ,[object Object],[object Object]
Mortality ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object]
Functional Recovery in ARDS Survivors ,[object Object],[object Object]
[object Object]
------END------

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  • 2.
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  • 4. New and Improved Adult Respiratory Distress Syndrome Acute Respiratory Distress Syndrome
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  • 9. ARDS: PaO 2 /FIO 2 <= 200mmHg PCWP <= 18 mmHg or no clinical evidence of increased left Atrial pressure Bilateral alveolar Or interstitial infiltrates Acute ALI: PaO2 /FIO2 <= 300mmHg Absence of Left Atrial Hypertension Chest Radiograph Onset Oxygenation ARDS ALI and Criteria for Diagnostic
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  • 46. D Surfactant replacement, inhaled nitric oxide, and other antiinflammatory therapy (e.g., ketoconazole, PGE 1 , NSAIDs)   C Glucocorticoids B Minimize left atrial filling pressures D    High-frequency ventilation and ECMO C    Recruitment maneuvers C    Prone position C    High-PEEP or &quot;open-lung&quot; A    Low tidal volume   Mechanical ventilation: Recommendation a   Treatment
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