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Journals / Kocaeli Tıp Dergisi / 2021 / Cilt: 10 - Sayı: Ek 2

Acute Respiratory Distress Syndrome in the Light of Current Literature

Güncel Literatür Işığında Akut Respiratuar Distres Sendromu

Rukiye Pınar BÖLÜKTAŞ
Gülşen KALAYCIOĞLU
Ayşenur ÜÇERİZ
Pages
148–159
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Low tidal volume (4-8 mL / kg according to estimated body weight) + limited plateau pressure (

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Acute Respiratory Distress Syndrome, which has high morbidity and mortality and negatively affects the quality of life of surviving patients, continues to occupy the medical world as a devastating health problem for more than 50 years.
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Key Findings & Data:Many factors such as sepsis, fat embolism, aspiration, inhalation of toxic gases and fumes, trauma and acute pancreatitis trigger the pathological process in the lungs, leading to hypoxemia, hypercapnia and a decrease in lung compliance.
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Conclusion & Impact:Low tidal volume (4-8 mL / kg according to estimated body weight) + limited plateau pressure (
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Acute Respiratory Distress Syndrome, which has high morbidity and mortality and negatively affects the quality of life of surviving patients, continues to occupy the medical world as a devastating health problem for more than 50 years. Many factors such as sepsis, fat embolism, aspiration, inhalation of toxic gases and fumes, trauma and acute pancreatitis trigger the pathological process in the lungs, leading to hypoxemia, hypercapnia and a decrease in lung compliance. There is no medication with proven efficacy in treatment. Treatment includes lung protective mechanical ventilation (tidal volume, positive end-expiratory pressure, prone position, recruitment maneuver) until the underlying cause is resolved. The optimal fluid regime differs according to the period of Acute Respiratory Distress Syndrome. Research results on the nutrition of patients are inconsistent. Low tidal volume (4-8 mL / kg according to estimated body weight) + limited plateau pressure (

Özet

Morbidite ve mortalitesi oldukça yüksek olan, hayatta kalan hastaların ise yaşam kalitesini olumsuz yönde etkileyen Akut Respiratuar Distres Sendromu 50 yılı aşkın süredir yıkıcı bir sağlık sorunu olarak tıp dünyasını meşgul etmeye devam etmektedir. Sepsis, yağ embolisi, aspirasyon, toksik gaz ve dumanların inhalasyonu, travma ve akut pankreatit gibi birçok faktör akciğerlerde patolojik süreci tetikleyerek hipoksemi, hiperkapni ve akciğer kompliyansında azalmaya yol açar. Tedavide etkinliği kanıtlanmış herhangi bir ilaç bulunmamaktadır. Tedavi, altta yatan neden iyileşene kadar, akciğer koruyucu mekanik ventilasyon (tidal volüm, pozitif end-ekspiratuar basınç, prone pozisyonu, recruitment manevra) uygulamasını içerir. Optimal sıvı rejimi ARDS’nin dönemine göre farklılık gösterir. Hastaların beslenmesine ilişkin yapılan araştırma sonuçları birbiri ile tutarsızdır. Düşük tidal volüm (4-8 mL/kg, tahmini vücut ağırlığına göre) + sınırlı plato basıncı (

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Cite This Article

BÖLÜKTAŞ, R. P., KALAYCIOĞLU, G., ÜÇERİZ, A. (2022). Acute Respiratory Distress Syndrome in the Light of Current Literature. Kocaeli Tıp Dergisi, Cilt: 10 - Sayı: Ek 2, 148–159. https://ajindex.com/articles/574704

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