Acute respiratory distress syndrome causes
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: , Ayokunle Olubaniyi, M.B,B.S [2], Brian Shaller, M.D. [3]
Overview
ARDS may be caused by either direct or indirect insults to the lung. Common causes of ARDS include sepsis, aspiration pneumonitis, and transfusion-related acute lung injury (TRALI).[1]
Causes
Life Threatening Causes
ARDS itself is a life-threatening condition that carries a high mortality rate; any cause of ARDS may be considered life-threatening.
Common Causes
ARDS may occur as the result of either a direct or indirect insult to the lungs:
- Direct insult
- Pneumonia (bacterial, viral, fungal, or parasitic)
- Aspiration pneumonitis
- Toxic inhalation
- Smoke inhalation
- Fat embolism
- Amniotic fluid embolism
- Near-drowning (fresh water drowning seems to be more likely to cause ARDS than salt water drowning)
- Physical trauma to the lungs (e.g., pulmonary contusion)
- Indirect insult:
- Sepsis
- Massive blood transfusion
- Adverse drug reactions and toxic exposures (e.g., acetylsalicylic acid overdose, heroin overdose)
- Extrapulmonary traumatic injury (e.g., head trauma, polytrauma)
- Pancreatitis
- Surface burns
- Cardiopulmonary bypass
Causes by Organ System
Causes in Alphabetical Order
References
- ↑ Pepe PE, Potkin RT, Reus DH, Hudson LD, Carrico CJ (1982). "Clinical predictors of the adult respiratory distress syndrome". Am J Surg. 144 (1): 124–30. PMID 7091520.
- ↑ de Prost N, Mekontso-Dessap A, Valeyrie-Allanore L, Van Nhieu JT, Duong TA, Chosidow O; et al. (2014). "Acute respiratory failure in patients with toxic epidermal necrolysis: clinical features and factors associated with mechanical ventilation". Crit Care Med. 42 (1): 118–28. doi:10.1097/CCM.0b013e31829eb94f. PMID 23989174.