Síndrome de distrés respiratorio agudo

Abstract

Acute Respiratory Syndrome (ARDS) is a form of non cardiogenic pulmonary edema, due to alveolar injury and it is diagnosed according to the Berlin definition. It is associated with a mortality of 2040% approximately. The ARDS is characterized by three sequential phases: the exudative, the proliferative and the fibrotic phase. It presents a wide differential diagnosis. Management is based in support as protective mechanical ventilation, prone position ventilation and the avoidance of fluid overload. The use of steroids, statins, nitric oxide and high-frequency oscillation ventilation do not have a clear benefit. Nowadays, strategies to prevent ARDS are on study.