Talk:Acute respiratory distress syndrome

This article was the subject of a Wiki Education Foundation-supported course assignment, between 3 September 2019 and 12 December 2019. Further details are available on the course page. Student editor(s): Hugheshayne (article contribs). Peer reviewers: Achram15.

SI Units

Hi. Nice article.

For those of us not in the US it'd be really useful if PaO2 and PaCO2 were expressed in kPa as well as mmHg. I'd edit the page myself to add on the SI units but I don't want to tread on anyone's toes. Is there a wikipedia policy about which units to express scientific and medical stuff in?

Cheers —Preceding unsigned comment added by Brothersoulshine (talk • contribs) 13:59, 28 April 2009 (UTC)

Use of VA or VV ECMO in ARDS Patients

Is anyone familiar with literature describing the use of Venous-Arterial or Venous-Venous ECMO in ARDS Patients and successful outcomes in Adults? I'm aware of the success rates in Children, but not so much in adults.

- Chance Gearheart, NREMT-P/EMD —Preceding unsigned comment added by 64.79.177.254 (talk) 00:47, 13 October 2009 (UTC)

Too much detail about PEEP

The extended discussion of PEEP should be moved, I think, to the Positive End-Expiratory Pressure article, which is currently a very short stub. Even then, the small details about "ideal PEEP" and related minutiae should be trimmed down. Dratman (talk) 07:05, 17 October 2009 (UTC)

New definition as of 2012

[1] Doc James (talk · contribs · email) 12:33, 29 May 2012 (UTC)

Yes, a competent person should update this to the Berlin definition. — Preceding unsigned comment added by 203.15.64.50 (talk) 23:47, 1 May 2013 (UTC)

Neuromuscular blockade

doi:10.1186/cc12557 - cisatracurium increases mortality (meta-analysis). JFW | T@lk 16:54, 14 March 2013 (UTC)

Colloids (i.e. albumin) meta-analysis

From 3 methodologically weak trials with ~200 patients, doi:10.1186/cc13187 concludes that albumin may improve oxygenation compared to crystalloid, but without a measurable mortality benefit. JFW | T@lk 14:12, 10 January 2014 (UTC)

Double pneumonia

There is a redirect from double pneumonia to this article, but it does not mention "double pneumonia". Neither does the article pneumonia. If someone knows the exact meaning of the term "double pneumonia", or its origin, it would be helpful to add it to one or both articles. CuriousEric 17:09, 7 April 2016 (UTC)

Unfamiliar with this usage. The Pneumonia page has "double pneumonia" under bilateral pneumonia, and cites a 2007 Chest paper which implies that it is a historical term which was used (before?) description of ARDS.

Prior to the development and widespread use of positive-pressure ventilators, acute lung injury (ALI) and ARDS, often termeddouble pneumonia, were nearly universally fatal forms of respiratory failure. However, in 1967 when Ashbaugh and colleagues 1described the clinical entity that they called “acute respiratory distress in adults,” positive-pressure mechanical ventilation was an important component of the care of patients with acute respiratory failure, and it was clear that this therapy was vital to the survival of patients with ARDS.

A PubMed search on the term "double pneumonia" shows absolutely nothing. It sounds like an old colloquial term to describe bilateral chest x-ray findings, and I am not sure value of explaining any of this or even adding "double pneumonia" as a synonymous term on the wiki page. I don't even think it should really be a re-direct. Dr G (talk) 13:02, 8 April 2016 (UTC)

Intensive Care Medicine

Theme issue on ARDS here. JFW | T@lk 16:20, 25 April 2016 (UTC)

Lancet seminar

doi:10.1016/S0140-6736(16)00578-X JFW | T@lk 08:37, 2 September 2016 (UTC)

And now one in NEJM 'coz ARDS is 50: doi:10.1056/NEJMra1608077 JFW | T@lk 16:40, 14 August 2017 (UTC)

HAPE and ARDS

Ref says "Autopsy results of a COVID-19 fatality revealed bilateral diffuse alveolar damage associated with pulmonary edema, pro-inflammatory concentrates, and indications of early-phase acute respiratory distress syndrome (ARDS). HAPE itself is initially caused by an increase in pulmonary capillary pressure and induces altered alveolar-capillary permeability via high pulmonary artery hydrostatic pressures that lead to a protein-rich and mildly hemorrhagic edema. It appears that COVID-19 and HAPE both discretely converge on ARDS."

https://www.ncbi.nlm.nih.gov/pubmed/?term=32226695

Doc James (talk · contribs · email) 18:59, 12 April 2020 (UTC)

CDC references coronavirus risk associated with acute respiratory distress syndrome

CDC mentions risk of a serious breathing problem called acute respiratory distress syndrome link: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/groups-at-higher-risk.html