Email Alert RSS
Volume 11 Issue 5
Sep.  2020
Turn off MathJax
Article Contents
Article Navigation >  Medical Journal of Peking Union Medical College Hospital  > 2020  >  11(5): 528-532
Ran ZHU. Reconsideration of Pulmonary and Extra-pulmonary Acute Respiratory Distress Syndrome[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(5): 528-532. doi: 10.3969/j.issn.1674-9081.2020.05.006
Citation: Ran ZHU. Reconsideration of Pulmonary and Extra-pulmonary Acute Respiratory Distress Syndrome[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(5): 528-532. doi: 10.3969/j.issn.1674-9081.2020.05.006
shu

Reconsideration of Pulmonary and Extra-pulmonary Acute Respiratory Distress Syndrome

doi: 10.3969/j.issn.1674-9081.2020.05.006

  • Department of Critical Care Medicine, First Hospital of China Medical University, Shenyang 110001, China

More Information
  • Author Bio:

    ZHU Ran, Tel:86-18040097997, E-mail: 18040097997@163.com

  • Received Date: 2020-06-05
  • Publish Date: 2020-09-30
    Abstract
  • Acute respiratory distress syndrome(ARDS) is a kind of respiratory failure caused by a series of etiologies, with high mortality in critically ill patients. According to different insults, there are pulmonary ARDS and extra-pulmonary ARDS. Pulmonary ARDS damages epithelial cells and alveolar membrane directly, while extra-pulmonary ARDS damages alveolar endothelial cells and causes increased permeability, interstitial edema, and collapsed alveoli. Pulmonary and extra-pulmonary insults usually co-exist in critically ill ARDS patients so that we couldn't differentiate them according to etiology, clinical characteristics, biomarkers or mortality. In this article, the differences in risk factors, clinical features, and mortality of pulmonary ARDS and extra-pulmonary ARDS are compared, and we comb the pathogenesis, clinical manifestations, treatment and prognosis of ARDS which are extremely important. It enables intensive care physicians to have a more comprehensive understanding of the pathogenesis of ARDS, and can standardize and systematically initiate the precise assessment and treatment of ARDS, thereby reducing the mortality rate of ARDS patients.
    • FullText(HTML)
  • loading
    • References(27)
  • [1] Derwall M, Martin L, Rossaint R. The acute respiratory distress syndrome: pathophysiology, current clinical practice, and emerging therapies[J]. Expert Rev Respir Med, 2018, 12:1021-1029. doi:  10.1080/17476348.2018.1548280
    [2] Bernard GR, Artigas A, Brigham KL, et al. Report of the American-European Consensus Conference on ARDS: definitions, mechanisms, relevant out-comes, and clinical trial coordination[J]. J Crit Care, 1994, 9:72-81. doi:  10.1016/0883-9441(94)90033-7
    [3] Shaver CM, Bastarache JA. Clinical and biological heterogeneity in acute respiratory distress syndrome: direct versus indirect lung injury[J]. Clin Chest Med, 2014, 35:639-653. doi:  10.1016/j.ccm.2014.08.004
    [4] Kallet RH, Ho K, Lipnick MS, et al. Pulmonary mechanics and gas exchange characteristics in uncommon etiologies of acute respiratory distress syndrome[J]. J Thorac Dis, 2018, 10:5030-5038. doi:  10.21037/jtd.2018.07.78
    [5] Yehya N, Keim G, Thomas NJ. Subtypes of pediatric acute respiratory distress syndrome have different predictors of mortality[J]. Intensive Care Med, 2018, 44:1230-1239. doi:  10.1007/s00134-018-5286-6
    [6] Gattinoni L, Quintel M. Fifty Years of Research in ARDS Why Is Acute Respiratory Distress Syndrome So Important for Critical Care?[J]. Am J Respir Crit Care Med, 2016, 194:1051-1052. doi:  10.1164/rccm.201604-0662ED
    [7] Menezes SL, Bozza PT, Neto HC, et al. Pulmonary and extrapulmonary acute lung injury: inflammatory and ultrastructural analyses[J]. J Appl Physiol (1985), 2005, 98:1777-1783. doi:  10.1152/japplphysiol.01182.2004
    [8] Negri EM, Hoelz C, Barbas CS, et al. Acute remodeling of parenchyma in pulmonary and extrapulmonary ARDS. An autopsy study of collagen-elastic system fibers[J]. Pathol Res Pract, 2002, 198: 355-361. doi:  10.1078/0344-0338-00266
    [9] Gattinoni L, Pelosi P, Suter PM, et al. Acute respiratory distress syndrome caused by pulmonary and extrapulmonary disease. Different syndromes?[J]. Am J Respir Crit Care Med, 1998, 158:3-11. doi:  10.1164/ajrccm.158.1.9708031
    [10] Pelosi P, Caironi P, Gattinoni L. Pulmonary and extrapulmonary forms of acute respiratory distress syndrome[J]. Semin Respir Crit Care Med, 2001, 22:259-268. doi:  10.1055/s-2001-15783
    [11] Tugrul S, Akinci O, Ozcan PE, et al. Effects of sustained inflation and postinflation positive end-expiratory pressure in acute respiratory distress syndrome: focusing on pulmonary and extrapulmonary forms[J]. Crit Care Med, 2003, 31:738-744. doi:  10.1097/01.CCM.0000053554.76355.72
    [12] Lim CM, Kim EK, Lee JS, et al. Comparison of the response to the prone position between pulmonary and extrapulmonary acute respiratory distress syndrome[J]. Intensive Care Med, 2001, 27:477-485. doi:  10.1007/s001340000848
    [13] Goodman LR, Fumagalli R, Tagliabue P, et al. Adult respiratory distress syndrome due to pulmonary and extrapulmonary causes: CT, clinical, and functional correlations[J]. Radiology, 1999, 213:545-552. doi:  10.1148/radiology.213.2.r99nv42545
    [14] Anan K, Kawamura K, Suga M, et al. Clinical differences between pulmonary and extrapulmonary acute respiratory distress syndrome: a retrospective cohort study of prospectively collected data in Japan[J]. J Thorac Dis, 2018, 10:5796-5803. doi:  10.21037/jtd.2018.09.73
    [15] Yehya N, Thomas NJ, Meyer NJ, et al. Circulating markers of endothelial and alveolar epithelial dysfunction are associated with mortality in pediatric acute respiratory distress syndrome[J]. Intensive Care Med, 2016, 42:1137-1145. doi:  10.1007/s00134-016-4352-1
    [16] Agrawal A, Matthay MA, Kangelaris KN, et al. Plasma angiopoietin-2 predicts the onset of acute lung injury in critically ill patients[J]. Am J Respir Crit Care Med, 2013, 187:736-742. doi:  10.1164/rccm.201208-1460OC
    [17] Calfee CS, Ware LB, Eisner MD, et al. Plasma receptor for advanced glycation end products and clinical outcomes in acute lung injury[J]. Thorax, 2008, 63:1083-1089. doi:  10.1136/thx.2008.095588
    [18] Agarwal R, Aggarwal AN, Gupta D, et al. Etiology and outcomes of pulmonary and extrapulmonary acute lung injury/ARDS in a respiratory in North India[J]. Chest, 2006, 130:724-729. doi:  10.1378/chest.130.3.724
    [19] Armstrong SM, Mubareka S, Lee WL. The lung microvas-cular endothelium as a therapeutic target in severe influenza[J]. Antiviral Res, 2013, 99:113-118. doi:  10.1016/j.antiviral.2013.05.003
    [20] Perl M, Lomas-Neira J, Venet F, et al. Pathogenesis of indirect (secondary) acute lung injury[J]. Expert Rev Respir Med, 2011, 5:115-126. doi:  10.1586/ers.10.92
    [21] Sharp C, Millar AB, Medford AR. Advances in understand-ing of the pathogenesis of acute respiratory distress syndrome[J]. Respiration, 2015, 89:420-434. doi:  10.1159/000381102
    [22] Gattinoni L, Tonetti T, Quintel M. Regional physiology of ARDS[J]. Crit Care, 2017, 21:312. doi:  10.1186/s13054-017-1905-9
    [23] Yoshida T, Amato MBP, Kavanagh BP, et al. Impact of spontaneous breathing during mechanical ventilation in acute respiratory distress syndrome[J]. Curr Opin Crit Care, 2019, 25:192-198. doi:  10.1097/MCC.0000000000000597
    [24] Englert JA, Bobba C, Baron RM. Integrating molecular pathogenesis and clinical translation in sepsis-induced acute respiratory distress syndrome[J].JCI Insight, 2019, 4:e124061. doi:  10.1172/jci.insight.124061
    [25] Wang XT, Ding X, Zhang HM, et al. Lung ultrasound can be used to predict the potential of prone positioning and assess prognosis in patients with acute respiratory distress syndrome[J]. Crit Care, 2016, 20:385. doi:  10.1186/s13054-016-1558-0
    [26] Vieillard-Baron A, Price LC, Matthay MA. Acute cor pulmonale in ARDS[J]. Intensive Care Med, 2013, 39:1836-1838. doi:  10.1007/s00134-013-3045-2
    [27] Peterson SJ, McKeever L, Lateef OB, et al. Combination of High-Calorie Delivery and Organ Failure Increases Mortality Among Patients With Acute Respiratory Distress Syndrome[J]. Crit Care Med, 2019, 47:69-75. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=592605bd99a718a2d0ad138df981ebcc
    • Relative Articles(0)
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索
    Get Citation
    PDF
    XML

    Article Metrics

    Article views (344) PDF downloads(79) Cited by()
    Proportional views
    Related
    Links: National Health Commission of the People's Republic of China Chinese Academy of Medical Sciences(CAMS) AMLC Check CNKI Database CNKI Term Online Chinese General Practice
    Address：Room 302,Third Floor,Building 7, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing 100730, China
    Tel：010-69154261/4262
    E - mail：medj@pumch.cn
    mjpumch@126.com
    Copyright of website：Editorial Office of Medical Journal of Peking Union Medical College Hospital

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return