Summary
The acute respiratory distress syndrome (ARDS) is characterized by (1) intrapul-monary 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.
Zusammenfassung
Das schwere, akute Lungenversagen (ARDS) ist durch eine meist generalisierte Inflammation der Lunge charakterisiert, die zu einer ausgeprägten Gasaustauschstörung, einem Permeabilitätsödem und einer Änderung der Lungendehnbarkeit führt. Wichtigste aktuelle Prinzipien der intensivmedizinischen Behandlung des ARDS sind eine lun-genprotektive Beatmung mit niedrigen Atemzugvolumina und einem adäquaten positiv endexpiratorischen Druck (PEEP), eine konsequente Fokussuche und Sanierung sowie eine Negativbilanzierung und intensive Lagerungstherapie des Patienten.
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Kaisers, U., Schütz, M., Falke, K.J. (2001). Intensivmedizinisches Management des ARDS / Management of ARDS. In: Hartel, W. (eds) Panta Rhei — Umdenken — — Umdenken —. Deutsche Gesellschaft für Chirurgie, vol 2001. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56458-1_101
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DOI: https://doi.org/10.1007/978-3-642-56458-1_101
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