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Definition =

 

Syndrome of rapid-onset hypoxemic respiratory failure with =

-Diffuse pulmonary infiltrates on chest radiograph

-Arterial Pa Oxygen

-No contribution of pulmonary congestion (pulmonary capillary wedge pressure

 

Treatment

 

Progress in recent therapy has emphasized the importance of general critical care of patients with ARDS in addition to new ventilator strategies.General care requires =

-Treatment of underlying cause of lung injury

-Minimizing procedural complications

-Avoidance of preventable complications such as venous thromboembolism

-Recognition and treatment of nosocomial infections

-Adequate nutritional support.

 

Outcome

Current mortality is 41-65% with most deaths due to non pulmonary causes