Acute Respiratory Distress Syndrome (ARDS)

last updated: October 31, 2016

by: Orlando Debesa

General: 

 

Mechanical Ventilation

  • if the TV is too large, the opening and closing of alveoli produces inflammation

Treatment

  • lung protective ventilation

  • vitamin C

  • steroid: solumedrol 60mg q6

  • avoid blood products

  • VV-ECMO

  • follow-up weekly CT scan of chest (determine progression of disease)

  • Advanced Rescue Maneuvers

    • Inverse ratio

    • Bilevel

    • Pulmonary vasodilators

    • Neuromuscular blocking agents

    • Noninvasive airway clearance and Lung Expansion

    • Positioning 

    • HFO​

... but I would more especially commend the clinician who, in acute diseases, by which the bulk of mankind are cutoff, conducts the treatment better than others.
 
Hippocrates, 400 BC