Skip to main content
SpringerLink
Log in
Book cover

Clinical Algorithms in General Surgery pp 719–722Cite as

Acute Respiratory Distress Syndrome (ARDS)

  • Chapter
  • First Online:

  • 165 Accesses

Abstract

Acute respiratory distress syndrome is underrecognized and has a >40% mortality in moderate-to-severe disease. Recognition utilizing the Berlin definition clarifies the mortality risk and drives treatment efforts maximizing survival. Lung protective strategies as well as neuromuscular blockade and prone positioning have been shown to have a survival advantage. Measurement of driving pressure and trans-pulmonary pressure may impede injury to the lung. Recruitment maneuvers and directed fluid management strategy may benefit certain ARDS patients. Optimal care of the ARDS patient includes the ABCDEF bundle.

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

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   249.99
Price excludes VAT (USA)
  • Durable hardcover 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

Learn about institutional subscriptions

References

  1. Ranieri VM, Rubenfeld GD, Thompson BT, et al. The ARDS definition task force. Acute respiratory distress syndrome: the Berlin definition. JAMA. 2012;307(23):2526–33.

    PubMed  Google Scholar 

  2. Bellani G, Laffey JG, Pham T, LUNG SAFE Investigators; ESICM Trials Group, et al. Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. JAMA. 2016;315(8):788–800.

    Article  CAS  Google Scholar 

  3. Villar J, Blanco J, Kacmarek RM. Current incidence and outcome of the acute respiratory distress syndrome. Curr Opin Crit Care. 2016;22(1):1–6.

    Article  Google Scholar 

  4. The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000;342(18):1301–8.

    Article  Google Scholar 

  5. Briel M, Meade M, Mercat A, et al. Higher vs lower positive end-expiratory pressure in patients with acute lung injury and acute respiratory distress syndrome systematic review and meta-analysis. JAMA. 2010;303(9):865–73.

    Article  CAS  Google Scholar 

  6. Chiumello D, Cressoni M, Carlesso E, et al. Bedside selection of positive end-expiratory pressure in mild, moderate and severe acute respiratory distress syndrome. Crit Care Med. 2013;42(2):1–13.

    Google Scholar 

  7. Papazian L, Forel JM, Gacouin A, ACURASYS Study Investigators, et al. Neuromuscular blockers in early acute respiratory distress syndrome. N Engl J Med. 2010;363(12):1107–16.

    Article  CAS  Google Scholar 

  8. Guérin C, Reignier J, Richard JC, PROSEVA Study Group, et al. Prone positioning in severe acute respiratory distress syndrome. N Engl J Med. 2013;368(23):2159–68.

    Article  Google Scholar 

  9. Amato MB, Meade MO, Slutsky AS, et al. Driving pressure and survival in acute respiratory distress syndrome. N Engl J Med. 2015;372(8):747–55.

    Article  CAS  Google Scholar 

  10. Talmor D, Sarge T, Malhotra A, et al. Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med. 2008;359(20):2095–104.

    Article  CAS  Google Scholar 

  11. Constantin JM, Godet T, Jabaudon M, Bazin JE, Futier E. Recruitment maneuvers in acute respiratory distress syndrome. Ann Transl Med. 2017;5(14):290–5.

    Article  Google Scholar 

  12. Famous KR, Delucchi K, Ware LB, et al. Acute respiratory distress syndrome subphenotypes respond differently to randomized fluid management strategy. Am J Respir Crit Care Med. 2017;195:331–8.

    Article  CAS  Google Scholar 

  13. Marra A, Ely EW, Pandharipande PP, Patel MB. The ABCDEF bundle in critical care. Crit Care Clin. 2017;33(2):225–43.

    Article  Google Scholar 

  14. Abrams D, Brodie D. Extracorporeal membrane oxygenation for adult respiratory failure 2017 update. Chest. 2017;152(3):639–49.

    Article  Google Scholar 

  15. Meade MO, Young D, Hanna S, et al. Severity of hypoxemia and effect of high-frequency oscillatory ventilation in acute respiratory distress syndrome. Am J Respir Crit Care Med. 2017;196(6):727–33.

    Article  Google Scholar 

  16. Gebistorf F, Karam O, Wetterslev J, Afshari A. Inhaled nitric oxide for ARDS in children and adults. Cochrane Database Syst Rev. 2016;(6). Art. No.:CD002787.

    Google Scholar 

  17. The National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network. Efficacy and safety of corticosteroids for persistent acute respiratory distress syndrome. N Engl J Med. 2006;354(16):1671–84.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Geisinger Holy Spirit Hospital, Harrisburg, PA, USA

    Dan A. Galvan

Authors
  1. Dan A. Galvan
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Surgery, Stony Brook Medicine, Stony Brook, NY, USA

    Salvatore Docimo Jr.

  2. Department of Surgery, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA

    Eric M. Pauli

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Galvan, D.A. (2019). Acute Respiratory Distress Syndrome (ARDS). In: Docimo Jr., S., Pauli, E. (eds) Clinical Algorithms in General Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-98497-1_173

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-98497-1_173

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98496-4

  • Online ISBN: 978-3-319-98497-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation