PPT-Acute Respiratory Distress Syndrome

The Rational selection of Rescue Methods in 2015 Ram E Rajagopalan MBBS AB Int Med AB Crit Care Head Department of Critical Care Medicine SUNDARAM MEDICAL FOUNDATION Chennai Pl effusion. Case presentation. A 45-year-old man develops ARDS after sustaining multiple broken bones in an automobile accident. The man weighs 70 kg. Mechanical ventilation is initiated in the AC mode with the following settings: (PEEP), 10 cm H2O; (FiO2), 70%; respiration rate, 12/min. . Aylin. Seven. CAUSES OF RESPIRATORY FAILURE. Upper – croup/epiglottis. Lower – bronchiolitis. Lung – pneumonia/ARDS, pulmonary . oedema. Status . Epilepticus. Apnoea. of prematurity. Intoxication. By Dr. Gacheri Mutua. DEFINITION. Also known as Hyaline Membrane Disease. Is . a respiratory . disorder that affects newborns. More common in premature infants especially born . 6wks . or more before their due date. Dr. Tara Husain. SIGN. EXTRATHORACIC AIRWAY OBSTRUCTION. INTRATHORACIC-EXTRAPULMONARY AIRWAY OBSTRUCTION. INTRAPULMONARY AIRWAY OBSTRUCTION. PARENCHYMAL PATHOLOGY. Tachypnea. +. +. ++. ++++. Retractions. Case presentation. A 45-year-old man develops ARDS after sustaining multiple broken bones in an automobile accident. The man weighs 70 kg. Mechanical ventilation is initiated in the AC mode with the following settings: (PEEP), 10 cm H2O; (FiO2), 70%; respiration rate, 12/min. . By: Yazmin Realivasquez. Stephen Huang . Jose Torres. What is ARDS?. ARDS is a respiratory condition characterized by hypoxemia, and stiff lungs, without mechanical ventilation most patients would die. ARDS represents a response to many different insults/injuries and evolves through different phases: alveolar capillary damage to lung resolution to a fibro-proliferative phase. The pulmonary epithelial and endothelial cellular damage is characterized by inflammation, apoptosis, necrosis and increased alveolar-capillary permeability, which lead to the development of alveolar edema. . ACNP Boot Camp 2013. Stephanie Davidson, ACNP-BC. Objectives. Review the causes and differentials for ARDS. Briefly discuss the pathophysiology . Discuss the clinical manifestations of ARDS. Understand evidence based treatment options. By . Goh. . Kiam. . Seong. HTAR, . Klang. 2011. Plan. Introduction. Causes and Classification. Respiratory Distress Signs. Evaluation and Investigation. General Management. Introduction. Respiratory Distress in Newborn . By. Dr Tahir Javed. Assistant Professor of Pediatrics,. King Edward Medical University . LAHORE. HISTORY. Ashbaugh: 1967. , . “. adult respiratory distress . syndrome. ” . American-European . Consensus Conference (AECC) . Defined as the impairment of the lung’s ability to maintain adequate oxygen and carbon dioxide homeostasis.. Respiratory Failure - Definition. PaO. 2. < 60 mm Hg. and/or. PaCO. 2. > 50 mm Hg. •Paralysis (GRADE 2A) . •Conservative fluid management (GRADE 2B) . •Bronchoscopy (GRADE 2C) . •Recruitment manoeuvres (GRADE 2C) . •Prone positioning for 16hrs (GRADE 2A. Consider tracking the Murray Score at all stages. . ARDS. Acute onset (<7 days). Bilateral opacities. “not fully explained by heart failure.”. Acute Respiratory Distress Syndrome. Moderate ARDS:. P/F 100-200. Mild ARDS: . P/F 201-300. Berlin Definition - 2012. Chan PK, Ip M, Ng K, Chan RC, Wu A, Lee N, et al. Severe Acute Respiratory Syndrome–associated Coronavirus Infection. Emerg Infect Dis. 2003;9(11):1453-1454. https://doi.org/10.3201/eid0911.030421. Angelakis E, Patrick G, Peloni J, Wey P, Perreal C, Raoult D. Orientia tsutsugamushi in Lung of Patient with Acute Respiratory Distress Syndrome, France, 2013. Emerg Infect Dis. 2015;21(2):373-375. https://doi.org/10.3201/eid2102.140860.