Acute respiratory distress syndrome: Pulmonary and extrapulmonary not so similar

Inderpaul Singh Sehgal, Sahajal Dhooria, Digambar Behera, Ritesh Agarwal

Indian Journal of Critical Care Medicine 2016 20(3):194-197

Acute respiratory distress syndrome (ARDS) is characterized by acute onset respiratory failure with bilateral pulmonary infiltrates and hypoxemia. Current evidence suggests different respiratory mechanics in pulmonary ARDS (ARDSp) and extrapulmonary ARDS (ARDSexp) with disproportionate decrease in lung compliance in the former and chest wall compliance in the latter. Herein, we report two patients of ARDS, one each with ARDSp and ARDSexp that were managed using real-time esophageal pressure monitoring using the AVEA ventilator to tailor the ventilatory strategy.

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