TY - CHAP M1 - Book, Section TI - Strategies in Acute Respiratory Distress Syndrome A1 - Devaraj, Anjan A1 - McBrine, Michael A2 - Go, Ronaldo C. PY - 2022 T2 - Understanding Crisis in Critical Care AB - Acute respiratory distress syndrome (ARDS) is a distinct type of respiratory failure that manifests as acute, diffuse lung inflammation that causes hypoxemia and is associated with high mortality. Early recognition of the syndrome and the prompt use of appropriate ventilator and adjunct strategies to manage the disease is essential in reducing critical care morbidity and mortality. This chapter will cover how ARDS is a common cause of hypoxemia in the critically ill patient and will go over strategies for the early diagnosis of the disease. Later, the chapter will also go over strategies to manage and help these patients recover, including the key tenets of mechanical ventilatory support and the indications for noninvasive ventilatory support. Finally, adjunct strategies to help clinicians struggling with refractory hypoxemia will be reviewed, including the use of recruitment maneuvers, open lung ventilation, paralysis, proning, and extracorporeal membrane oxygenation (ECMO), among other modalities. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1184387453 ER -