• Emerg. Med. Clin. North Am. · Feb 2016

    Review

    Early Treatment of Severe Acute Respiratory Distress Syndrome.

    • Thomas M Przybysz and Alan C Heffner.
    • Division of Critical Care Medicine, Department of Internal Medicine, Carolinas Medical Center, 1000 Blyth Boulevard, Charlotte, NC 28203, USA.
    • Emerg. Med. Clin. North Am. 2016 Feb 1; 34 (1): 1-14.

    AbstractAcute respiratory distress syndrome (ARDS) is defined by acute diffuse inflammatory lung injury invoked by a variety of systemic or pulmonary insults. Despite medical progress in management, mortality remains 27% to 45%. Patients with ARDS should be managed with low tidal volume ventilation. Permissive hypercapnea is well tolerated. Conservative fluid strategy can reduce ventilator and hospital days in patients without shock. Prone positioning and neuromuscular blockers reduce mortality in some patients. Early management of ARDS is relevant to emergency medicine. Identifying ARDS patients who should be transferred to an extracorporeal membrane oxygenation center is an important task for emergency providers. Copyright © 2016 Elsevier Inc. All rights reserved.

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