Articles: respiratory-distress-syndrome.
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Monaldi Arch Chest Dis · Aug 1996
ReviewThe complications of lung resection in adults: acute respiratory distress syndrome (ARDS).
Postoperative lung injury is a recognized complication of pulmonary resection. In adults, this is manifest in its most severe form as the acute respiratory distress syndrome (ARDS). ARDS is characterized by high permeability pulmonary oedema resulting in refractory and often terminal hypoxaemia. ⋯ Perioperative fluid overload, increased blood flow through the remaining lung postoperatively, reoxygenation injury and activation of inflammatory mediators have been postulated as possible causes. Conventional parameters for preoperative assessment do not predict those patients most likely to develop lung injury in these circumstances. Clinical management strategies for acute respiratory distress syndrome complicating lung resection are discussed.
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Pediatric emergency care · Aug 1996
Review Case ReportsStaphylococcal tracheitis, pneumonia, and adult respiratory distress syndrome.
A child initially seen in the emergency department with respiratory distress was diagnosed with viral laryngotracheitis and discharged home on oral steroids. She returned the following day without abatement of her symptoms and was admitted with upper airway obstruction and pneumonia. ⋯ Hemodynamic instability and severe parenchymal lung disease ensued from septic shock and adult respiratory distress syndrome requiring inotropic support and assisted ventilation. Oscillatory ventilation was instituted when the patient failed conventional ventilation.
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Comparative Study
[Gas exchange and hemodynamic effects of nitric oxide inhalation in patients with acute respiratory distress syndrome].
To analyze the effects on gas exchange and hemodynamics of nitric oxide inhalation in patients with acute respiratory distress syndrome. ⋯ Low doses of inhaled nitric oxide induce a selective pulmonary vasodilatation and significant improvement of oxygenation in the majority of acute respiratory distress syndrome patients, although those with a hyperkinetic hemodynamic status are less likely to improve the oxygenation. These effects are maintained for at least 5 days. We did not observe rebound effects.