Adult respiratory distress syndrome due to pulmonary and extrapulmonary causes: CT, clinical, and functional correlations

Radiology
L R GoodmanA Pesenti

Abstract

To assess the differences in CT appearance between adult respiratory distress syndrome due to pulmonary disease (ARDSP) and that due to extrapulmonary disease (ARDSEXP) and determine whether the variable appearances of ARDS are due, in part, to the initial pulmonary and systemic causes. Thirty-three patients, 22 with ARDSP and 11 with ARDSEXP, underwent helical CT shortly after intubation. Two readers evaluated images for the type, extent, and distribution of pulmonary opacities; secondary findings; and correlation with survival and physiologic parameters. In both ARDSP and ARDSEXP, approximately 80% of the lung was abnormal. In ARDSP, ground-glass opacification and consolidation were equally prevalent, whereas in ARDSEXP ground-glass opacification was dominant. Ground-glass opacification was evenly distributed, whereas consolidation tended to be dorsal and caudal. ARDSP often caused asymmetric consolidation, whereas ARDSEXP caused symmetric ground-glass opacification. Air bronchograms were almost universal. Pleural effusions were present in one-half of the patients, and Kerley B lines and pneumatoceles were uncommon. Lung consolidation correlated with the ratio of mean partial pressure of arterial oxygen to fraction of inspire...Continue Reading

References

Feb 1, 1976·AJR. American Journal of Roentgenology·C E RavinT C McLoud
Sep 1, 1988·The American Review of Respiratory Disease·J F MurrayM R Flick
Jul 1, 1988·Chest·M LangerL Gattinoni
Apr 1, 1987·AJR. American Journal of Roentgenology·J A RuskinL R Goodman
May 1, 1985·AJR. American Journal of Roentgenology·E N MilneC Giuntini
Dec 1, 1974·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·N Joffe
Aug 1, 1982·Radiology·M S GilliesonD Muram
Mar 1, 1994·American Journal of Respiratory and Critical Care Medicine·G R BernardR Spragg
Oct 1, 1995·AJR. American Journal of Roentgenology·M L StortoW R Webb
Jun 8, 1994·JAMA : the Journal of the American Medical Association·L GattinoniM Tagliabue
Apr 28, 1993·JAMA : the Journal of the American Medical Association·L GattinoniR Fumagalli
May 1, 1996·American Journal of Respiratory and Critical Care Medicine·T TerashimaM Kanazawa
Feb 26, 1998·American Journal of Respiratory and Critical Care Medicine·P PelosiL Gattinoni
Mar 21, 1998·Intensive Care Medicine·D Bihari, K Daly
Jul 9, 1998·American Journal of Respiratory and Critical Care Medicine·L GattinoniA Lissoni

❮ Previous
Next ❯

Citations

Jul 31, 2001·Magnetic Resonance in Medicine : Official Journal of the Society of Magnetic Resonance in Medicine·A H HerlihyJ V Hajnal
Sep 20, 2006·Intensive Care Medicine·Chris M ParkerManfred Caeser
Oct 12, 2010·European Radiology·Jonathan H ChungSubba R Digumarthy
May 11, 2010·Indian Journal of Pediatrics·Arun K BaranwalAkshay K Saxena
Feb 15, 2001·Critical Care Medicine·Graeme M. Rocker
Nov 1, 2005·Dimensions of Critical Care Nursing : DCCN·Meaghan M Taylor
Feb 15, 2001·Journal of Computer Assisted Tomography·N TomiyamaH Nakamura
Jan 22, 2005·Current Opinion in Critical Care·Patricia R M Rocco, Walter A Zin
Mar 11, 2003·Critical Care Medicine·Maureen McCunn
May 29, 2003·Critical Care Medicine·Chang-Yi LinArthur S Slutsky
Mar 17, 2006·Critical Care Medicine·Thomas BeinHans J Schlitt
Jan 25, 2008·Critical Care Medicine·Abdullah H Alsaghir, Claudio M Martin
May 12, 2006·The Journal of Trauma·Andriy I BatchinskyLeopoldo C Cancio
Sep 4, 2008·Critical Care Medicine·Jason PhuaNiall D Ferguson
Jan 16, 2008·Current Opinion in Critical Care·Patricia R M Rocco, Paolo Pelosi
Sep 27, 2007·Journal of Computer Assisted Tomography·Nobuyuki TanakaDavid A Lynch
Mar 31, 2010·Journal of Thoracic Imaging·Fabrício Guimarães GonçalvesPriscilla Ornellas Neves
Mar 15, 2008·Respirology : Official Journal of the Asian Pacific Society of Respirology·Xiaoning BuShuo Wang
Aug 20, 2004·American Journal of Respiratory and Critical Care Medicine·Guillermo M AlbaicetaJesús Otero
Oct 13, 2007·American Journal of Respiratory and Critical Care Medicine·Guido MuschJose G Venegas
Dec 4, 2003·American Journal of Respiratory and Critical Care Medicine·John G LaffeyBrian P Kavanagh
Jun 5, 2002·American Journal of Respiratory and Critical Care Medicine·David M Hansell
Aug 6, 2011·Critical Care : the Official Journal of the Critical Care Forum·Konstantinos StefanidisSerafim Nanas
Mar 16, 2012·Critical Care : the Official Journal of the Critical Care Forum·Marija KojicicOgnjen Gajic
Oct 8, 2004·Critical Care : the Official Journal of the Critical Care Forum·Luciano GattinoniFranco Valenza
Sep 6, 2007·Critical Care : the Official Journal of the Critical Care Forum·Niall D FergusonInmaculada Rodríguez
Nov 5, 2008·Critical Care : the Official Journal of the Critical Care Forum·Dirk VarelmannHermann Wrigge
May 19, 2009·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Yoon Kyung KimSung Shine Shim
Apr 7, 2005·Intensive Care Medicine·Luciano Gattinoni, Antonio Pesenti
Sep 3, 2002·Current Opinion in Critical Care·Matthew E J Callister, Timothy W Evans
Jan 6, 2006·Anesthesiology·Riccarda RussoLuciano Gattinoni
Oct 10, 2001·Chest·R G BrowerM A Matthay

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Hereditary Sensory Autonomic Neuropathy

Hereditary Sensory Autonomic Neuropathies are a group of inherited neurodegenerative disorders characterized clinically by loss of sensation and autonomic dysfunction. Here is the latest research on these neuropathies.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Landau-Kleffner Syndrome

Landau Kleffner syndrome (LKS), also called infantile acquired aphasia, acquired epileptic aphasia, or aphasia with convulsive disorder, is a rare childhood neurological syndrome characterized by the sudden or gradual development of aphasia (the inability to understand or express language) and an abnormal electroencephalogram. Discover the latest research on LKS here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.