Acute respiratory distress syndrome: focusing on secondary injury.
Chin Med J (Engl)
; 134(17): 2017-2024, 2021 Aug 25.
Article
in English
| MEDLINE | ID: covidwho-1769432
ABSTRACT
ABSTRACT Acute respiratory distress syndrome (ARDS) is one of the most common severe diseases seen in the clinical setting. With the continuous exploration of ARDS in recent decades, the understanding of ARDS has improved. ARDS is not a simple lung disease but a clinical syndrome with various etiologies and pathophysiological changes. However, in the intensive care unit, ARDS often occurs a few days after primary lung injury or after a few days of treatment for other severe extrapulmonary diseases. Under such conditions, ARDS often progresses rapidly to severe ARDS and is difficult to treat. The occurrence and development of ARDS in these circumstances are thus not related to primary lung injury; the real cause of ARDS may be the "second hit" caused by inappropriate treatment. In view of the limited effective treatments for ARDS, the strategic focus has shifted to identifying potential or high-risk ARDS patients during the early stages of the disease and implementing treatment strategies aimed at reducing ARDS and related organ failure. Future research should focus on the prevention of ARDS.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Respiratory Distress Syndrome
Type of study:
Etiology study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Chin Med J (Engl)
Year:
2021
Document Type:
Article
Affiliation country:
CM9.0000000000001694
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