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Acute respiratory distress syndrome (ARDS) is a type of respiratory failure characterized by rapid onset of widespread inflammation in the lungs. [1] Symptoms include shortness of breath (dyspnea), rapid breathing (tachypnea), and bluish skin coloration (cyanosis). [ 1 ]
Acute respiratory distress syndrome : a potentially life-threatening condition where the alveoli are damaged thereby letting fluid leak into the lungs which makes it difficult to exchange gases and oxygenate the blood. [3] It is the general practice of the medical community to use the Berlin criteria to diagnose ARDS.
The pathophysiology of acute respiratory distress syndrome involves fluid accumulation in the lungs not explained by heart failure (noncardiogenic pulmonary edema). It is typically provoked by an acute injury to the lungs that results in flooding of the lungs' microscopic air sacs responsible for the exchange of gases such as oxygen and carbon dioxide with capillaries in the lungs. [1]
A P a O 2 /F I O 2 ratio less than or equal to 200 mmHg is necessary for the diagnosis of acute respiratory distress syndrome by the AECC criteria. [7] The more recent Berlin criteria defines mild ARDS at a ratio of less than 300 mmHg.
Acute respiratory distress syndrome (ARDS), a severe lung condition occurring in response to a critical illness or injury. Infant respiratory distress syndrome due to a deficiency of surfactant in the lungs of a baby born prematurely. Tuberculosis [4] Many cases of restrictive lung disease are idiopathic (have no known cause).
There are two forms of respiratory distress syndrome: ARDS, which is acute (or adult) respiratory distress syndrome; Infant respiratory distress syndrome (IRDS), which is a complication of premature birth, also known as hyaline membrane disease (HMD) Also, respiratory distress can mean: Shortness of breath; Respiratory failure
Respiratory failure is classified as either Type 1 or Type 2, based on whether there is a high carbon dioxide level, and can be acute or chronic. In clinical trials, the definition of respiratory failure usually includes increased respiratory rate , abnormal blood gases (hypoxemia, hypercapnia, or both), and evidence of increased work of breathing.
The permissive hypercapnia leads to respiratory acidosis which might have negative side effects, but given that the patient is in ARDS, improving ventilatory function is more important. Since hypoxemia is a major life-threatening condition and hypercapnia is not, one might choose to accept the latter. Hence the term, "permissive hypercapnia."