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The acute respiratory distress syndrome in 2013.


ABSTRACT: Acute lung injury and the acute respiratory distress syndrome are major causes of morbidity and mortality in critically ill patients. This review focuses on new developments in definitions, epidemiology, clinical and basic research, and promising new directions in treatment. There is new information about the potential contribution of environmental factors, especially exposure to cigarette smoke. Pathologic findings in ARDS have been limited to case reports of open lung biopsies and post-mortem studies but there is some new information from a recent pathology study relative to the frequency of diffuse alveolar damage and the severity of arterial hypoxemia. Further, therapy with lung-protective ventilation and fluid conservative protocol has improved outcomes, but several new trials are in progress to test several promising strategies.

SUBMITTER: Matthay MA 

PROVIDER: S-EPMC6733424 | biostudies-literature | 2013 Dec

REPOSITORIES: biostudies-literature

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The acute respiratory distress syndrome in 2013.

Matthay Michael A MA   Song Yuanlin Y   Bai Chunxue C   Jones Kirk D KD  

Translational respiratory medicine 20130517 1


Acute lung injury and the acute respiratory distress syndrome are major causes of morbidity and mortality in critically ill patients. This review focuses on new developments in definitions, epidemiology, clinical and basic research, and promising new directions in treatment. There is new information about the potential contribution of environmental factors, especially exposure to cigarette smoke. Pathologic findings in ARDS have been limited to case reports of open lung biopsies and post-mortem  ...[more]

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