Sequelae of the adult respiratory distress syndrome
ثبت نشده
چکیده
The adult respiratory distress syndrome (ARDS) is characterised by hypoxaemia, bilateral pulmonary infiltrates due to increased permeability, pulmonary oedema and, in most but not all instances, reduced lung compliance. The yearly incidence of ARDS is approximately six per 100 000. ARDS may occur in response to various direct or indirect insults to the lung. Gastric aspiration, bacterial or pneumonia, major trauma, transfusion, and sepsis are among the most common causes (table).'"3 A generally standardised approach to the acute, supportive care of these patients has evolved which uses mechanical ventilation and positive end expiratory pressure (PEEP)4 but, despite increased experience in caring for these critically ill patients, the mortality of patients with ARDS remains at about 50%.56 Death is often due to non-pulmonary causes, multiple organ system failure, or sepsis.7 Patients who survive an episode of ARDS may be asymptomatic and have normal pulmonary function, or they may have marked dyspnoea and severe physiological abnormalities. This editorial will review (1) the functional and physiological abnormalities seen in survivors of ARDS, (2) the predictors ofpulmonary dysfunction in this population, and (3) those aspects of acute patient care which might adversely affect outcome.
منابع مشابه
Acute respiratory distress syndrome in pregnancy.
Acute respiratory distress syndrome is a serious sequelae of many serious illnesses during pregnancy. An understanding of acute respiratory distress syndrome is central to the proper care of a patient with the disorder. Acute respiratory distress syndrome results in diminished pulmonary compliance and respiratory shunt mediated hypoxemia. Furthermore, the initial pulmonary injury in acute respi...
متن کاملMental Health and Psychosocial Distress Sequelae of Katrina: An Empirical Study of Survivors
متن کامل
Hypersensitivity Reaction and Acute Respiratory Distress Syndrome in Pyrethroid Poisoning and Role of Steroid Therapy
Background: Pyrethroids are generally of low toxicity to humans, but in suicidal poisonings which are usually associated with ingestion of high doses, they lead to severe systemic effects. Case Report: A 30-year old woman presented to emergency department with a history of intentional ingestion of about 15 mL of prallethrin around 3 days earlier. She complained of shortness of breath along with...
متن کاملSevere acute respiratory distress syndrome in a child with malaria: favorable response to prone positioning.
We present the case of a 4-year-old boy with malaria who developed acute respiratory distress syndrome with severe hypoxemia refractory to mechanical ventilation and inhaled nitric oxide. Placing the patient in prone position immediately and persistently improved oxygenation: the ratio of P(aO(2)) to fraction of inspired oxygen rose from 47 to 180 mm Hg and the oxygenation index decreased from ...
متن کاملStudy of Demographic Factors Affecting Neonatal Mortality Due to Respiratory Distress Syndrome in Rural Area of Ahvaz in 2010
Introduction: Neonatal mortality rate is an important index of development in different communities and respiratory distress syndrome is one of the important causes. This study aimed to determine the status and effective demographic factors of neonatal mortality due to respiratory distress syndrome in Rural Area of Ahvaz city Iran. Method: It was a case control study of all neonatal death ...
متن کاملAcute Respiratory Distress Syndrome Caused by Mycoplasma Pneumoniae Diagnosed by Polymerase Chain Reaction
Mycoplasma pneumoniae (M. pneumoniae) is a common pathogen in cases of atypical pneumonia. Most individuals with Mycoplasma pneumonia run a benign course, with non-specific symptoms of malaise, fever and non-productive cough that usually resolve with no long-term sequelae. Acute lung injury is not commonly seen in Mycoplasma pneumonia. We report a case of acute respiratory distress syndrome cau...
متن کامل