Resumo
Definição
History and exam
Key diagnostic factors
- presencia de factores de riesgo
- baja saturación de oxígeno
- insuficiencia respiratoria aguda
Other diagnostic factors
- paciente en estado crítico
- disnea
- aumento de la frecuencia respiratoria
- crepitaciones pulmonares
- distensibilidad pulmonar baja
- fiebre, tos, dolor torácico pleurítico
- esputo espumoso
Risk factors
- sepsis
- aspiración
- neumonía
- traumatismos graves
- transfusiones de sangre
- trasplante de pulmón
- pancreatitis
- antecedentes de abuso de alcohol
- quemaduras e inhalación de humo
- ahogamiento
- uso del cigarrillo electrónico y de productos de vapeo
- Inmunoterapia
- sobredosis de fármacos
- tabaquismo
Diagnostic investigations
1st investigations to order
- radiografía de tórax
- gasometría arterial
- cultivo de esputo
- hemocultivo
- urocultivo
- amilasa y lipasa
Investigations to consider
- péptido natriurético cerebral (PNC)
- ecocardiografía
- cateterismo de la arteria pulmonar
- lavado broncoalveolar o aspirado endotraqueal
- exploración por tomografía computarizada (TC) del tórax
- Ultrasonido de pulmón
- pruebas virales
- biopsia pulmonar abierta
Treatment algorithm
todos los pacientes
Contributors
Authors
Lorraine B. Ware, MD
Ralph and Lulu Owen Professor of Medicine
Professor of Pathology, Microbiology and Immunology
Director
Vanderbilt Medical Scholars Program
Division of Allergy, Pulmonary and Critical Care Medicine
Department of Medicine
Vanderbilt University School of Medicine
Nashville
TN
Declarações
LBW has received consulting fees from Arrowhead, Akebia, Santhera, and Global Blood Therapeutics, all unrelated to the topic of this article. LBW has received research funding (to her institution) from the US National Institutes of Health, Boerhinger Ingelheim, and Genetech Inc., unrelated to the topic of this article. LBW holds stock in Virtuoso Surgical, unrelated to the topic of this article.
Agradecimentos
Dr Lorraine Ware would like to gratefully acknowledge Dr Richard Fremont, a previous contributor to this topic.
Declarações
RF declares that he has no competing interests.
Revisores
Michael A. Matthay, MD
Director of Medicine Critical Care Fellowship
Department of Anesthesia and Perioperative Care
University of California San Francisco
CA
Declarações
MAM declares that he has no competing interests.
Timothy Evans, MBBS
Professor of Intensive Care Medicine
Royal Brompton Hospital
London
UK
Declarações
TE declares that he has no competing interests.
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Referências
Principais artigos
Matthay MA, Arabi Y, Arroliga AC, et al. A new global definition of acute respiratory distress syndrome. Am J Respir Crit Care Med. 2024 Jan 1;209(1):37-47.Texto completo Resumo
Bos LDJ, Ware LB. Acute respiratory distress syndrome: causes, pathophysiology, and phenotypes. Lancet. 2022 Oct 1;400(10358):1145-56.Texto completo Resumo
Janz DR, Ware LB. Approach to the patient with the acute respiratory distress syndrome. Clin Chest Med. 2014 Dec;35(4):685-96.Texto completo Resumo
Qadir N, Sahetya S, Munshi L, et al. An update on management of adult patients with acute respiratory distress syndrome: an official American Thoracic Society clinical practice guideline. Am J Respir Crit Care Med. 2024 Jan 1;209(1):24-36.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
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