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Acute Respiratory Distress Syndrome

Acute Respiratory Distress Syndrome Key PointsQuestionWhat advances in diagnosis and treatment of acute respiratory distress syndrome (ARDS) have been introduced in the last 5 years? FindingsThe diagnosis of ARDS is based on fulfilling the Berlin definition criteria for timing of the syndrome’s onset, origin of edema, chest radiograph findings, and hypoxemia. Few pharmacologic treatments are available and management remains supportive largely based on physiological approaches to lung-protective mechanical ventilation. MeaningThe Berlin definition of ARDS addressed limitations from prior definitions but poor reliability of some criteria may contribute to underrecognition. Clinical guidelines can assist clinicians in the evidence-based use of 6 interventions related to mechanical ventilation and extracorporeal membrane oxygenation. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Acute Respiratory Distress Syndrome

JAMA , Volume 319 (7) – Feb 20, 2018

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Publisher
American Medical Association
Copyright
Copyright 2018 American Medical Association. All Rights Reserved.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2017.21907
pmid
29466596
Publisher site
See Article on Publisher Site

Abstract

Key PointsQuestionWhat advances in diagnosis and treatment of acute respiratory distress syndrome (ARDS) have been introduced in the last 5 years? FindingsThe diagnosis of ARDS is based on fulfilling the Berlin definition criteria for timing of the syndrome’s onset, origin of edema, chest radiograph findings, and hypoxemia. Few pharmacologic treatments are available and management remains supportive largely based on physiological approaches to lung-protective mechanical ventilation. MeaningThe Berlin definition of ARDS addressed limitations from prior definitions but poor reliability of some criteria may contribute to underrecognition. Clinical guidelines can assist clinicians in the evidence-based use of 6 interventions related to mechanical ventilation and extracorporeal membrane oxygenation.

Journal

JAMAAmerican Medical Association

Published: Feb 20, 2018

References