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Published on: October 26, 2018
Acute Respiratory Distress Syndrome Definition, Causes, and Pathophysiology
Ahmed Virani1, Kiet Ma, Jennifer Leap
1Division of Pulmonary Critical Care (Drs Virani, Ma, Leap, Dumont, and Cheema) and Internal Medicine Residency, Department of Medicine (Dr Hertel), Allegheny General Hospital, Allegheny Health Network, Pittsburgh, Pennsylvania; and Nursing, Chatham University, Pittsburgh, Pennsylvania (Dr Singh).
Acute respiratory distress syndrome (ARDS) is a severe lung condition with high mortality. This review covers ARDS clinical signs, causes, and pathophysiology.
Area of Science:
- Pulmonology
- Critical Care Medicine
Background:
- Acute respiratory distress syndrome (ARDS), first described in 1967, presents a significant healthcare challenge due to high mortality rates.
- Despite diverse causes, ARDS involves a distinct pattern of lung injury, characterized by severe hypoxemia and non-cardiogenic pulmonary edema.
- Extensive research and clinical trials have been conducted, yet ARDS remains a critical concern in patient care.
Purpose of the Study:
- To provide a comprehensive overview of acute respiratory distress syndrome.
- To review the clinical manifestations, diagnostic definitions, and various etiologies of ARDS.
- To offer a concise summary of the underlying pathophysiology of this complex respiratory failure.
Main Methods:
- Literature review of studies and clinical trials on acute respiratory distress syndrome.
- Synthesis of information regarding clinical presentation, definitions, and causes.
- Overview of the pathophysiology based on existing research.
Main Results:
- ARDS is a rapidly progressing respiratory failure with recognizable lung injury patterns.
- Key characteristics include severe hypoxemia and non-cardiogenic pulmonary edema.
- The syndrome arises from heterogeneous etiologies.
Conclusions:
- Acute respiratory distress syndrome remains a significant clinical and research challenge.
- Understanding its diverse causes, clinical features, and pathophysiology is crucial for management.
- Further research is needed to mitigate the high mortality associated with ARDS.
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