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ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) Timothy G. Janz, MD Department of Emergency Medicine Pulmonary/Critical Care Division Department of Internal Medicine
ARDS Definitions ,[object Object],[object Object],[object Object],[object Object]
ARDS Epidemiology ,[object Object],[object Object],[object Object],[object Object]
ARDS Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS  Acute Exudative Phase ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS  Acute Exudative Phase
ARDS  Acute Exudative Phase
ARDS  Acute Exudative Phase
ARDS Proliferative Phase ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Proliferative Phase
ARDS Fibrotic Phase ,[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Etiology
ARDS Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Clinical Phases ,[object Object],[object Object],[object Object],[object Object]
ARDS Clinical Features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Clinical Features: CXR
ARDS Clinical Features: CXR
ARDS Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Diagnosis
ARDS Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Treatment: Standard ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS “Open-Lung “ Approach to PEEP Amato ,  Am J Respir Crit Care Med  1995; 152:1835
ARDS Treatment: PEEP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Optimal PEEP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Optimal PEEP ,[object Object],[object Object],[object Object],ARDS Network,  N Engl J Med  2000; 342:1301 www.ardsnet.org
ARDS Ventilator-Induced Lung Injury
ARDS Treatment:Lung-Protective Ventilation ARDS Network,  N Engl J Med  2000; 342:1301 ardsnet.org
ARDS Treatment: Lung-Protective Ventilation ,[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Treatment: Lung-Protective Ventilation ,[object Object],[object Object],[object Object]
ARDS Treatment: Lung-Protective Ventilation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Treatment: Mechanical Ventilation (MV) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Treatment:  Alternate Modes of MV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Treatment: Prone Positioning Chatte,  Am J Respir Crit Care Med 1997; 25:1539
ARDS Treatment: Prone Positioning
ARDS Treatment: Prone Positioning ,[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Treatment: Partial Liquid Ventilation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Treatment: Partial Liquid Ventilation ,[object Object],[object Object],[object Object],[object Object]
ARDS Treatment: Vasodilators Gerlach,  Eur J Clin Invest  1993; 23:499
ARDS Treatment: Vasodilators ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Treatment: Other Modalities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARDS Prognosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The End

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