Skip to main content

The Morphology of the Adult Respiratory Distress Syndrome

  • Chapter
Shock and the Adult Respiratory Distress Syndrome

Part of the book series: Current Concepts in Critical Care ((CRITICAL CARE))

Abstract

The morphology of adult respiratory distress syndrome (ARDS) essentially involves two distinct aspects: aetiology and pathophysiology. Many different pathophysiological mechanisms may be important in the development of ARDS. However, although during the initial phase the morphological appearances may be somewhat disparate, eventually the morphological picture is that of classical ARDS.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Bachofen M, Bachofen H (1979) Der Heilungsverlauf des schweren “adult respiratory distress syndrome”. Schweiz Med Wochenschr 109:1982–1989.

    PubMed  CAS  Google Scholar 

  • Bleyl U (1979) Die Histophysiologie und Histopathologie der terminalen Lungenstrombahn bei akutem Lungenversagen. Klin Anaesthesiol Intensivmed 20:1–13.

    CAS  Google Scholar 

  • Dinges HP, Redl H, Schlag G (1984) Quantitative estimation of granulocyte in the lung after polytrauma: dog and human autopsy data. Eur Surg Res 16 [Suppl] 1:100–101.

    Google Scholar 

  • Gidlos A, Hammersen F, Larsson J, Lewis DH, Liljedahl SO (1982) Is capillary endothelium in human skeletal muscle an ischemic shock tissue? In: Lewis DH (ed) Induced skeletal muscle ischemia in man, Symposium Linköping, pp 63–79.

    Google Scholar 

  • Glause FL, Milien JE, Falls R (1979) Increased alveolar epithelial permeability with acid aspiration: the effects of high dose steriods. Am Rev Respir Dis 120:1119–1123.

    Google Scholar 

  • Hammersen F, Hammersen E (1984) The ultrastructure of microvascular endothelial cell reactions to various stimuli. Prog Appl Microcirc 6:91–108.

    Google Scholar 

  • Hassenstein J, Riede UN, Mittermayer C, Sandritter W (1980) Zur Frage der Reversibilität der schockinduzierten Lungenfibrose. Anaesthesiol Intensivther Notfallmed 15:340–349.

    Article  CAS  Google Scholar 

  • Herndon DN, Traber DL, Niehaus GD, Linares HA, Traber LD (1984) The pathophysiology of smoke inhalation injury in a sheep model. J Trauma 24:1044–1051.

    Article  PubMed  CAS  Google Scholar 

  • Kazmierowski JA, Gallin JT, Reynolds HY (1977) Mechanism for the inflammatory response in primate lungs: demonstration and partial characterization of an alveolar macrophage derived chemotactic factor with preferential activity for polymorphonuclear leukocyctes. J Clin Invest 59:273–281.

    Article  PubMed  CAS  Google Scholar 

  • Lamy M, Fallat RJ, Koeniger E, Dietrich HP, Ratliff J, Eberhart RC, Tucker HJ, Hill JD (1976) Pathologic features and mechanisms of hypoxemia in adult respiratory distress syndrome. Am Rev Respir Dis 114:267–284.

    PubMed  CAS  Google Scholar 

  • Mecca RS (1986) Pulmonary contusion and flail chest. Curr Rev Respir Ther 8:75–79.

    Google Scholar 

  • Mercandetti AJ, Lane TA, Colmerauer MEM (1984) Cultured human endothelial cells elaborate neutrophil chemoattractants. J Lab Clin Med 104:370–380.

    PubMed  CAS  Google Scholar 

  • Pretorius JP, Schlag G, Redl H, Botha WS, Goosen DJ, Bosman H (1987) The “lung in shock” as a result of hypovolemic-traumatic shock in baboons. J Trauma (submitted for publication).

    Google Scholar 

  • Redl H, Schlag G, Hammerschmidt DE (1984a) Quantitative assessment of leukostasis in experimental hypovolemic-traumatic shock. Acta Chir Scand 150:113–117.

    PubMed  CAS  Google Scholar 

  • Redl H, Thurnher M, Krösl P, Schlag G (1984b) Extravaskuläre Lungenwasserbestimmung im hypovolämisch-traumatischen Schock (Frühpahse). Beitr Anaesthesiol Intensivmed 6:120–130.

    Google Scholar 

  • Saldeen T (1979) The microembolism syndrome: a review. In: Saldeen T (ed) The microembolism syndrome. Almqvist and Wiksell, Stockholm, pp 7–44.

    Google Scholar 

  • Schlag G, Redl H (1985a) Morphology of the microvascular system in shock: lung, liver, and skeletal muscle. Crit Care Med 13:1045–1049.

    PubMed  CAS  Google Scholar 

  • Schlag G, Redl H (1985b) Morphology of the human lung after traumatic injury. In: Zapol WM, Falke KJ (eds) Acute respiratory failure. Marcel Dekker, New York Basel, pp 161–183.

    Google Scholar 

  • Schlag G, Voigt WH, Schnells G, Glatzl A (1976) Die Ultrastruktur der menschlichen Lunge im Schock: I. Anaesthesist 25:512–521.

    PubMed  CAS  Google Scholar 

  • Schlag G, Voigt WH, Schnells G, Glatzl A (1977) Vergleichende Untersuchungen der Ultrastruktur von menschlicher Lunge und Skelettmuskulatur im Schock: II. Anaesthesist 26:612–622.

    PubMed  CAS  Google Scholar 

  • Schlag G, Voigt WH, Redl H, Glatzl A (1980) Vergleichende Morphologie des posttraumatischen Lungenversagens. Anaesthesiol Intensivther Notfallmed 15:315–339.

    Article  CAS  Google Scholar 

  • Teplitz C (1976) The core pathobiology and integrated medical science of adult acute respiratory insufficiency. Surg Clin N Am 56:1091–1131.

    PubMed  CAS  Google Scholar 

  • Thal AP, Brown EB, Hermeck AS, Bell HH (1972) Shock: a physiologic basis for treatment. Year Book Medical Publishers, Chicago, pp 72–121.

    Google Scholar 

  • Traber D, Schlag G, Redl H, Traber L (1984) The mechanism of the pulmonary edema of smoke inhalation. Circ Shock 13:78.

    Google Scholar 

  • Traber DL, Schlag G, Redl H, Traber LD (1987) Pulmonary edema and compliance changes following smoke inhalation. Burn (submitted for publication).

    Google Scholar 

  • Tranbaugh RF, Elings VB, Christensen JM, Lewis FR (1983) Effect of inhalation injury on lung water accumulation. J Trauma 23:597–604.

    Article  PubMed  CAS  Google Scholar 

  • Zapol W, Trelstad RL, Coffey JW, Tasi I, Salvador RA (1979) Pulmonary fibrosis in severe acute respiratory failure. Am Rev Resp Dis 119:547–554.

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Schlag, G., Redl, H. (1988). The Morphology of the Adult Respiratory Distress Syndrome. In: Kox, W., Bihari, D. (eds) Shock and the Adult Respiratory Distress Syndrome. Current Concepts in Critical Care. Springer, London. https://doi.org/10.1007/978-1-4471-1443-7_2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-1443-7_2

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1445-1

  • Online ISBN: 978-1-4471-1443-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics