Akutes Lungenversagen - ARDS

Abstract

ARDS is still a big challege in intensive care. It represents a common pathway of diverse events and disease entities, which account for the varying outcome. Sepsis is a leading cause of ARDS. Besides the standard treatment, which consists of therapy of the underlying cause, fluid restriction, kinetic therapy and protective mechanical ventilation combined with adjuvant drug treatment, the 'complete' open lung concept which allows a rapid alveolar recruitment may be a useful addition that still requires widespread clinical evaluation. Surfactant instillation, NO inhalation and ECMO remain restricted for use in special cases. Partial liquid ventilation is yet in its infancy.