Talk:Acute respiratory distress syndrome

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I'm working on text right now, it may be a while until I finish... Please drop a message in Talk if I'm outragingly mistaken anywhere.

Next I'll see if I can get any pictures...

Aside 16:36, 6 Jul 2004 (UTC)

In Pathophysiology -> Inflammation: "In pneumonia-induced ARDS, for example, large, more commonly causes relatively compact areas of alveolar infiltrates." I don't get it. I hope it's not just me. — Preceding unsigned comment added by (talk) 10:05, 25 May 2012 (UTC)


With gratitude to Nescio (talk · contribs), who is clearly working in Intensive Care at the moment, this article is really assuming form.

Some points:

  • The article mentions various articles not referenced, and the current references are not all linked properly. Shall we use Wikipedia:Footnote3 as a guideline for footnoting?
  • Would some diagrams and a "typical" chest X-ray benefit the article?

JFW | T@lk 20:02, 28 August 2005 (UTC)

Have redone references, not finished. Just leave it as it is, I will continue ASAP. Contents too is chaotic, will redo that also. Give me some time (a week?). --Nomen Nescio 02:56, August 29, 2005 (UTC)

Im not sure that I totally agree with the discussion of APRV being the best mode of ventilation in this disease? What is the evidence for this point?--Phattwizat 09:31, 24 February 2007 (UTC)

Also, the Epidemiology section should come much earlier in the article, not at the end. The incidence should be updated to include a much higher rate 78/100,000 person-years (see Rubenfeld et al, New England Journal of Medicine)--Phattwizat 09:38, 24 February 2007 (UTC)

The first citation needed under the epidemiology section comes from: Luhr OR, Antonsen K, Karlsson M. Incidence and mortality after acute respiratory failure and acute respiratory distress syndrome in Sweden, Denmark, and Iceland. The ARF Study Group. Am J Respir Crit Care Med. Jun 1999;159(6):1849-61. However, the statement above mine is correct and the actual figure is acually around 86.2 in 100,000 person-years from: Rubenfeld GD, Caldwell E, Peabody E, Weaver J, Martin DP, Neff M. Incidence and outcomes of acute lung injury. N Engl J Med. Oct 20 2005;353(16):1685-93. —Preceding unsigned comment added by (talk) 10:22, 4 March 2011 (UTC)

I Survived ARDS[edit]

I Survived! But not without drastic lung capacity loss and acute brain damage. The cause was vomit aspiration due to a heroin overdose.

Good to hear you survived. It is a major medical emergemcy as you probably know. Many are not that lucky. Hope you're doing fine ate the moment. Sincerely --Nomen Nescio 13:01, 17 January 2006 (UTC)

Respiratory distress syndrome (disambiguation necessary?)[edit]

Would anyone with a comment on whether "RDS" is ever used to refer to "ARDS" come discuss at Talk:Respiratory distress syndrome, please? -- JVinocur 01:25, 27 April 2006 (UTC)


I understood type II pneumocytes produced surfactant, but you have commented that Dysfunction of Type I cells leads to decreased surfactant production at one point in the article.—The preceding unsigned comment was added by Adamev (talkcontribs).

Bizarre Reference[edit]

I have removed the following reference:

  • God Bless those nurses and Md's who work in the icu at the Royal Victoria Hospital in Montreal. In 1998, they did their best. God bless you Daddy. Miss you.

Unless I'm missing something I don't think this belongs here. SuperAntMD 21:28, 12 November 2006 (UTC)


"ARDS is a severe lung disease caused by a variety of direct and indirect insults." I don't really understand what is meant by that sentence, can anyone give clarification? Don't want to remove it cos I'm oblivious to medical jargon, so for all I know it could be legitimate...doubt that, but you never know... londonsista | Prod 12:15, 31 January 2008 (UTC)

Found one reference. I'm sure there are others. Probably should be explained or footnoted. Wiktionary doesn't cover it. Just checked. Student7 (talk) 13:26, 31 January 2008 (UTC)
Thank you for that clarification. Is the term 'insults' mainly used in America, cos I've never heard it in reference to medicine? Also I've heard of RDS, but was wondering if anyone can shed any light on whether A/RDS is used in the UK and where the figures for the incidence of this condition come from cos it ain't clear..Sorry for all the questions/niggles, just wanna clarify a few stuff! :) londonsista | Prod 19:10, 31 January 2008 (UTC)
I realize that we don't always pronounce words the same :) and there are some minor spelling differences, but I believe that we share the same medical terminology in order to be able to share medical craft. But I could be wrong. In other words, I believe that this is formal English from physicians point of view. "Insult" is not a word we would hear (even in America) in a patient-doctor exchange. It is primarily a medical term. I would suspect that the word "insult" also translates well into other European languages like German and French, as a medical term. Can we hear from someone with a medical background? Student7 (talk) 19:30, 31 January 2008 (UTC)
Some well-meaning, unregistered editor replaced the word "insults" with "issues." The word "insult" does imply more than that. It suggests a "blow," a "challenge" (not quite right), a direct condition to which the body's ability to respond is challenged. Something stronger than mere "issues" is needed I think. Student7 (talk) 00:11, 5 February 2008 (UTC)

SI Units[edit]

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 (talkcontribs) 13:59, 28 April 2009 (UTC)

Use of VA or VV ECMO in ARDS Patients[edit]

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 (talk) 00:47, 13 October 2009 (UTC)

Too much detail about PEEP[edit]

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[edit]

[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 (talk) 23:47, 1 May 2013 (UTC)

Neuromuscular blockade[edit]

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

Colloids (i.e. albumin) meta-analysis[edit]

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)

External links modified[edit]

Hello fellow Wikipedians,

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YesY Archived sources have been checked to be working

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Double pneumonia[edit]

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.[1]

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[edit]

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

  1. ^ Girard, TD; Bernard, GR (March 2007). "Mechanical ventilation in ARDS: a state-of-the-art review.". Chest. 131 (3): 921–9. PMID 17356115.