Acute Respiratory Distress Syndrome

• Acute Respiratory Distress Syndrome also called Hyperpermeable Pulmonary Edema (HPPE)
• Acute Respiratory Distress Syndrome 


  A form of acute respiratory failure that occurs as a complication caused by a diffuse lung injury or critical illness and leads to extravascular lung fluid
• Acute Respiratory Distress Syndrome

  • the main problems are pulmonary edema and atelectasis
• Acute Respiratory Distress Syndrome: Clinical Manifestations

  A - Atelectasis

  R - refractory hypoxemia

  D - decreased lung compliance

  S - surfactants decreased

  ABG - respiratory acidosis

  Chest Xray - infiltrates

  Earliest sign - tachypnea
• Acute Respiratory Distress Syndrome: Initial management

  High-flow oxygen, 8 to 10 lpm
• Acute Respiratory Distress Syndrom: Management

  PEEP ventilation - to open up collapsed alveoli and keep them open
• Acute Respiratory Distress Syndrome: Management

  Muscle relaxant is administered to promote chest compliance with the ventilator. Ex: Morphine and Pavulon
• Acute Respiratory Distress Syndrome: Management

  Pavulon - provide meticulous eye care to prevent corneal ulceration
• Acute Respiratory Distress Syndrome: Management

  Pavulon - inhibits blink reflex
• Acute Respiratory Distress Syndrome: Ventilator

  High pressure alarm turns on - Obstruction
• Acute Respiratory Distress Syndrome: Ventilator

  High pressure alarm turns on - Obstruction
• Acute Respiratory Distress Syndrome: Ventilator

  Low pressure alarm turns on - Disconnection
• Acute Respiratory Distress Syndrome: Ventilator

  Low pressure alarm turns on - Disconnection