医学
急性呼吸窘迫综合征
弥漫性肺泡损伤
重症监护医学
肺
机械通风
恶化
肺顺应性
通风(建筑)
急性呼吸窘迫
呼吸窘迫
潮气量
呼吸系统
麻醉
内科学
机械工程
工程类
作者
Philip Yang,Michael W. Sjoding
标识
DOI:10.1016/j.ccc.2023.12.003
摘要
Acute respiratory distress syndrome (ARDS) is an acute inflammatory lung injury characterized by severe hypoxemic respiratory failure, bilateral opacities on chest imaging, and low lung compliance. ARDS is a heterogeneous syndrome that is the common end point of a wide variety of predisposing conditions, with complex pathophysiology and underlying mechanisms. Routine management of ARDS is centered on lung-protective ventilation strategies such as low tidal volume ventilation and targeting low airway pressures to avoid exacerbation of lung injury, as well as a conservative fluid management strategy.
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