[Intensive care management of ARDS].
The acute respiratory distress syndrome (ARDS) is characterized by (1) intrapulmonary right-to-left shunting, (2) permeability edema of the lung, and (3) alterations in pulmonary compliance. The clinical features of ARDS are due to an acute inflammatory reaction of the lung. Current clinical management of patients with ARDS aim at implementation of lung protective ventilatory strategies with adequate PEEP and low tidal volumes, diagnosis and treatment of underlying infections, and a negative fluid balance together with positional maneuvers like prone positioning.
Kaisers
U
U
Kliniken für Anästhesiologie und operative Intensivmedizin, Humboldt-Universität Berlin, Augustenburger Platz 1, 13353 Berlin.
Schütz
M
M
Falke
K J
KJ
D003422:Critical Care; D006801:Humans; D010348:Patient Care Team; D011175:Positive-Pressure Respiration; D011379:Prognosis; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000628:therapy*