Adult respiratory distress syndrome

Ann R Coll Surg Engl. 2017 Jan;99(1):12-16. doi: 10.1308/rcsbull.2017.12. Epub 2016 Aug 11.

Abstract

Adult respiratory distress syndrome (ARDS) has now been described as a sequela to such diverse conditions as burns, amniotic fluid embolism, acute pancreatitis, trauma, sepsis and damage as a result of elective surgery in general. Patients with ARDS require immediate intubation, with the average patient now being ventilated for between 8 and 11 days. While the acute management of ARDS is conducted by the critical care team, almost any surgical patient can be affected by the condition and we believe that it is important that a broader spectrum of hospital doctors gain an understanding of the nature of the pathology and its current treatment.

Keywords: Adult respiratory distress syndrome; Danang lung; Non-cardiogenic pulmonary oedema; Shock lung; Wet lung; White; ‘Nam lung’.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Extracorporeal Membrane Oxygenation / methods
  • Fluid Therapy / methods
  • Humans
  • Intubation, Intratracheal / methods
  • Nitric Oxide / therapeutic use
  • Patient Positioning / methods
  • Positive-Pressure Respiration / methods
  • Pulmonary Surfactants / therapeutic use
  • Respiratory Distress Syndrome / diagnosis
  • Respiratory Distress Syndrome / etiology
  • Respiratory Distress Syndrome / therapy*

Substances

  • Adrenal Cortex Hormones
  • Pulmonary Surfactants
  • Nitric Oxide