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proLékaře.cz / Journals / Internal Medicine / 2019 - 3

Acute respiratory distress syndrome

Czech version

Authors: Vlasta Dostálová;  Pavel Dostál
Published in: Vnitř Lék 2019; 65(3): 193-203
Category:

Overview

Acute respiratory distress syndrome (ARDS) is a type of acute diffuse lung injury associated with a predisposing risk factor, characterized by inflammation leading to increased pulmonary vascular permeability and loss of aerated lung tissue. The hallmarks of the clinical syndrome are hypoxemia and bilateral radiographic opacities, associated with several physiological derangements including: increased pulmonary venous admixture, increased physiological dead space, and decreased respiratory system compliance. No pharmacologic treatments aimed at the underlying pathology have been shown to be effective, and the management remains supportive. Lung-protective mechanical ventilation remains the key supportive intervention in ARDS patients, although extracorporeal lung support may extend its role in the near future.

Keywords:

ARDS – corticosteroid – mechanical ventilation – muscle relaxants – prone position

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Labels
Diabetology Endocrinology Internal medicine
An unstable patient in first contact with a doctor in hospital: how to recognize the risk?
Diagnosing hypovolemia and hypervolemia: from clinical examination to modern methods
Importance of ultrasound examination in diagnosing acute conditions
Intravenous fluid therapy in acutely ill patients for non-intensivists
Initial antibiotic treatment of serious bacterial infections
Hemorrhagic shock and treatment of severe bleeding
Nutrition in the acute phase of illness
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Internal Medicine

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2019 Issue 3
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