الفشل التنفسي الحاد في متلازمة الضائقة التنفسية الحادة مع الظلال الثنائية

Among ARF, acute respiratory distress syndrome (ARDS) is a serious condition associated with bilateral lung infiltration.

The clinical diagnosis of ARDS is currently based on the Berlin definition: (1) PaO₂/FIO₂ ratio <= 300 under positive end-expiratory pressure (PEEP)/continuous positive airway pressure (CPAP) >= 5 cmH₂O; (2) acute onset within a week; (3) bilateral shadows in the lung fields, and (4) respiratory failure that cannot be explained by cardiac failure or excess fluid alone.

The benefit of extracorporeal membrane oxygenation (ECMO) has been clarified in recent studies, with ECMO now weakly recommended for severe ARDS in most guidelines.

DOI: 10.1186/s40560-023-00658-3