Management of Patients with Acute Respiratory Distress Syndrome

Acute respiratory distress syndrome (ARDS) is a complex clinical syndrome characterized by noncardio- genic pulmonary edema and damage to the alveolar capillary membrane. The complexity of the mediator cascades, fluid shifts, and inflammatory process associated with ARDS requires an in depth understanding of the pathophysiology to determine management strategies. This article addresses the pathophysiology, integration of assessment findings, and management strategies for the patient with ARDS.