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Year : 2017  |  Volume : 18  |  Issue : 2  |  Page : 32-38

Acute respiratory distress syndrome: A case presentation

Junior Lecturer, College of Nursing, CMC, Vellore, India

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Acute Respiratory Distress Syndrome (ARDS) is a major condition in an Intensive Care Unit. It was previously known as non-cardiogenic pulmonary edema. It is caused by various conditions due to damage to the lung, but the main reason is sepsis. It damages the alveolar capillary membrane that leads to interstitial and alveolar edema, diffuse alveolar damage, refractory hypoxemia, and ventilation perfusion mismatch. The common clinical manifestation is dyspnea with diffuse infiltration in chest X-ray. The management of ARDS includes setting low tidal volume, high Positive End Expiratory Pressure (PEEP) and low plateau pressure. Prone positioning will improve perfusion to the patient and thereby increase PaO2/FiO2 ratio. The recent trend of High Frequency Oscillation Ventilation (HFOV) is used to manage ARDS.

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