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Mild Acute Respiratory Distress Syndrome

MedGen UID:
1773269
Concept ID:
C5420229
Disease or Syndrome
Synonym: Mild ARDS

Definition

A form of acute respiratory distress syndrome (ARDS) that is marked by mild hypoxemia. Based on the Berlin criteria, onset must occur within one week of a clinical insult or there must be evidence of new or worsening respiratory symptoms. Chest imaging reveals bilateral opacities consistent with pulmonary edema that are not fully explained by effusions, lobar/lung collapse, or nodules. Respiratory failure is not fully explained by heart failure or fluid overload and objective assessment, e.g. echocardiography, is required to exclude hydrostatic edema if no risk factor is present. Additionally, oxygenation as measured by a partial pressure of arterial oxygen (PaO2) to the fraction of inspired oxygen (FIO2) is equivalent to between 200 and 300 mm Hg with positive end-expiratory pressure (PEEP) or continuous positive airway pressure (CPAP) of at least 5 cm of water (Ranieri VM et al., JAMA. 2012;307(23):2526-2533). [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVMild Acute Respiratory Distress Syndrome

Professional guidelines

PubMed

Grieco DL, Maggiore SM, Roca O, Spinelli E, Patel BK, Thille AW, Barbas CSV, de Acilu MG, Cutuli SL, Bongiovanni F, Amato M, Frat JP, Mauri T, Kress JP, Mancebo J, Antonelli M
Intensive Care Med 2021 Aug;47(8):851-866. Epub 2021 Jul 7 doi: 10.1007/s00134-021-06459-2. PMID: 34232336Free PMC Article
Mokrá D
Physiol Res 2020 Dec 31;69(Suppl 3):S353-S366. doi: 10.33549/physiolres.934602. PMID: 33464919Free PMC Article
Fan E, Brodie D, Slutsky AS
JAMA 2018 Feb 20;319(7):698-710. doi: 10.1001/jama.2017.21907. PMID: 29466596

Recent clinical studies

Etiology

Franchineau G, Chommeloux J, Pineton de Chambrun M, Lebreton G, Bréchot N, Hékimian G, Bourcier S, Le Guennec L, Luyt CE, Combes A, Schmidt M
Crit Care Med 2022 Mar 1;50(3):e231-e240. doi: 10.1097/CCM.0000000000005302. PMID: 34582417
He H, Sun B, Liang L, Li Y, Wang H, Wei L, Li G, Guo S, Duan J, Li Y, Zhou Y, Chen Y, Li H, Yang J, Xu X, Song L, Chen J, Bao Y, Chen F, Wang P, Ji L, Zhang Y, Ding Y, Chen L, Wang Y, Yang L, Yang T, Weng H, Li H, Wang D, Tong J, Sun Y, Li R, Jin F, Li C, He B, Sun L, Wang C, Hu M, Yang X, Luo Q, Zhang J, Tan H, Wang C; ENIVA Study Group
Crit Care 2019 Sep 4;23(1):300. doi: 10.1186/s13054-019-2575-6. PMID: 31484582Free PMC Article
Pham T, Serpa Neto A, Pelosi P, Laffey JG, De Haro C, Lorente JA, Bellani G, Fan E, Brochard LJ, Pesenti A, Schultz MJ, Artigas A; LUNG SAFE Investigators* and the European Society of Intensive Care Medicine Trials Group
Anesthesiology 2019 Feb;130(2):263-283. doi: 10.1097/ALN.0000000000002508. PMID: 30499850
van Haren F, Pham T, Brochard L, Bellani G, Laffey J, Dres M, Fan E, Goligher EC, Heunks L, Lynch J, Wrigge H, McAuley D; Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) Investigators
Crit Care Med 2019 Feb;47(2):229-238. doi: 10.1097/CCM.0000000000003519. PMID: 30379668Free PMC Article
Ji Q, Lai H, Sun Y, Luo Z, Liu L, Liu C, Gu J, Wang Y, Ding W, Wang C
Int Heart J 2017 Oct 21;58(5):739-745. Epub 2017 Sep 30 doi: 10.1536/ihj.16-306. PMID: 28966309

Diagnosis

van Haren F, Pham T, Brochard L, Bellani G, Laffey J, Dres M, Fan E, Goligher EC, Heunks L, Lynch J, Wrigge H, McAuley D; Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) Investigators
Crit Care Med 2019 Feb;47(2):229-238. doi: 10.1097/CCM.0000000000003519. PMID: 30379668Free PMC Article
Ji Q, Lai H, Sun Y, Luo Z, Liu L, Liu C, Gu J, Wang Y, Ding W, Wang C
Int Heart J 2017 Oct 21;58(5):739-745. Epub 2017 Sep 30 doi: 10.1536/ihj.16-306. PMID: 28966309
Cinnella G, Grasso S, Raimondo P, D'Antini D, Mirabella L, Rauseo M, Dambrosio M
Anesthesiology 2015 Nov;123(5):1113-21. doi: 10.1097/ALN.0000000000000862. PMID: 26397017
Caironi P, Carlesso E, Cressoni M, Chiumello D, Moerer O, Chiurazzi C, Brioni M, Bottino N, Lazzerini M, Bugedo G, Quintel M, Ranieri VM, Gattinoni L
Crit Care Med 2015 Apr;43(4):781-90. doi: 10.1097/CCM.0000000000000770. PMID: 25513785
Audimoolam VK, McPhail MJ, Wendon JA, Willars C, Bernal W, Desai SR, Auzinger G
Crit Care Med 2014 Mar;42(3):592-600. doi: 10.1097/01.ccm.0000435666.15070.d5. PMID: 24152589

Therapy

Yang W, Zhang Y, Lu D, Huang T, Yan K, Wang W, Gao J
Bioengineered 2022 Jan;13(1):1518-1529. doi: 10.1080/21655979.2021.2021065. PMID: 34986734Free PMC Article
Wang M, Zhang T, Li L, Xie Q, Wang Y, Li Y, Chen Z
Eur J Pharmacol 2020 Nov 15;887:173563. Epub 2020 Sep 16 doi: 10.1016/j.ejphar.2020.173563. PMID: 32949601Free PMC Article
Mittal A, Varshney M, Rathi V, Ish P
Monaldi Arch Chest Dis 2020 Jan 21;90(1) doi: 10.4081/monaldi.2020.1158. PMID: 31970968
He H, Sun B, Liang L, Li Y, Wang H, Wei L, Li G, Guo S, Duan J, Li Y, Zhou Y, Chen Y, Li H, Yang J, Xu X, Song L, Chen J, Bao Y, Chen F, Wang P, Ji L, Zhang Y, Ding Y, Chen L, Wang Y, Yang L, Yang T, Weng H, Li H, Wang D, Tong J, Sun Y, Li R, Jin F, Li C, He B, Sun L, Wang C, Hu M, Yang X, Luo Q, Zhang J, Tan H, Wang C; ENIVA Study Group
Crit Care 2019 Sep 4;23(1):300. doi: 10.1186/s13054-019-2575-6. PMID: 31484582Free PMC Article
Cinnella G, Grasso S, Raimondo P, D'Antini D, Mirabella L, Rauseo M, Dambrosio M
Anesthesiology 2015 Nov;123(5):1113-21. doi: 10.1097/ALN.0000000000000862. PMID: 26397017

Prognosis

Gonzalez-Martinez A, Fanjul V, Ramos C, Serrano Ballesteros J, Bustamante M, Villa Martí A, Álvarez C, García Del Álamo Y, Vivancos J, Gago-Veiga AB
Eur J Neurol 2021 Oct;28(10):3426-3436. Epub 2021 Feb 2 doi: 10.1111/ene.14718. PMID: 33417287
He H, Sun B, Liang L, Li Y, Wang H, Wei L, Li G, Guo S, Duan J, Li Y, Zhou Y, Chen Y, Li H, Yang J, Xu X, Song L, Chen J, Bao Y, Chen F, Wang P, Ji L, Zhang Y, Ding Y, Chen L, Wang Y, Yang L, Yang T, Weng H, Li H, Wang D, Tong J, Sun Y, Li R, Jin F, Li C, He B, Sun L, Wang C, Hu M, Yang X, Luo Q, Zhang J, Tan H, Wang C; ENIVA Study Group
Crit Care 2019 Sep 4;23(1):300. doi: 10.1186/s13054-019-2575-6. PMID: 31484582Free PMC Article
Pham T, Serpa Neto A, Pelosi P, Laffey JG, De Haro C, Lorente JA, Bellani G, Fan E, Brochard LJ, Pesenti A, Schultz MJ, Artigas A; LUNG SAFE Investigators* and the European Society of Intensive Care Medicine Trials Group
Anesthesiology 2019 Feb;130(2):263-283. doi: 10.1097/ALN.0000000000002508. PMID: 30499850
Ji Q, Lai H, Sun Y, Luo Z, Liu L, Liu C, Gu J, Wang Y, Ding W, Wang C
Int Heart J 2017 Oct 21;58(5):739-745. Epub 2017 Sep 30 doi: 10.1536/ihj.16-306. PMID: 28966309
Audimoolam VK, McPhail MJ, Wendon JA, Willars C, Bernal W, Desai SR, Auzinger G
Crit Care Med 2014 Mar;42(3):592-600. doi: 10.1097/01.ccm.0000435666.15070.d5. PMID: 24152589

Clinical prediction guides

He H, Sun B, Liang L, Li Y, Wang H, Wei L, Li G, Guo S, Duan J, Li Y, Zhou Y, Chen Y, Li H, Yang J, Xu X, Song L, Chen J, Bao Y, Chen F, Wang P, Ji L, Zhang Y, Ding Y, Chen L, Wang Y, Yang L, Yang T, Weng H, Li H, Wang D, Tong J, Sun Y, Li R, Jin F, Li C, He B, Sun L, Wang C, Hu M, Yang X, Luo Q, Zhang J, Tan H, Wang C; ENIVA Study Group
Crit Care 2019 Sep 4;23(1):300. doi: 10.1186/s13054-019-2575-6. PMID: 31484582Free PMC Article
Pham T, Serpa Neto A, Pelosi P, Laffey JG, De Haro C, Lorente JA, Bellani G, Fan E, Brochard LJ, Pesenti A, Schultz MJ, Artigas A; LUNG SAFE Investigators* and the European Society of Intensive Care Medicine Trials Group
Anesthesiology 2019 Feb;130(2):263-283. doi: 10.1097/ALN.0000000000002508. PMID: 30499850
van Haren F, Pham T, Brochard L, Bellani G, Laffey J, Dres M, Fan E, Goligher EC, Heunks L, Lynch J, Wrigge H, McAuley D; Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) Investigators
Crit Care Med 2019 Feb;47(2):229-238. doi: 10.1097/CCM.0000000000003519. PMID: 30379668Free PMC Article
Audimoolam VK, McPhail MJ, Wendon JA, Willars C, Bernal W, Desai SR, Auzinger G
Crit Care Med 2014 Mar;42(3):592-600. doi: 10.1097/01.ccm.0000435666.15070.d5. PMID: 24152589
Hu S, Sheng Z, Zhou B, Guo Z, Lu J, Xue L, Jin H, Sun X, Sun S, Li J, Lü Y
Chin Med J (Engl) 1998 Feb;111(2):101-8. PMID: 10374366

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