Can develop in any patient who requires mechanical ventilation for more than 48 hours.
Signs and symptoms include a new fever, elevated white blood cell count, new infiltrate on chest x-ray, increased or changing pulmonary secretions, and hypotension.
multiple organ failure
In addition to respiratory failure, the most common manifestations in patients with ARDS are renal failure, shock, acute delirium, or coma. Less common are hepatic and hematologic failure.
Treatment includes supportive therapy as well as specific interventions for each organ: mechanical ventilation for respiratory failure, dialysis for renal failure, and vasopressors for hypotension.
Most often a complication due to pulmonary barotrauma. Barotrauma occurred in 13% of patients enrolled in the ARDS Network low tidal volume trial and was associated with higher levels of positive end-expiratory pressure (PEEP).
Signs and symptoms include tracheal deviation, sudden worsening hypoxemia, high peak and plateau pressures on the ventilator, hypotension, and cardiovascular collapse.
Chest x-ray can confirm the presence of a pneumothorax. Treated with insertion of a chest tube.
Persistent dyspnea is particularly present during exercise. A majority of patients who survive ARDS have a mild to moderate decrease in carbon monoxide diffusion in the lung, but steady improvement is seen in the first year.
abnormal lung function
reduced quality of life
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