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(Chest. 1974;65:92-93.)
© 1974 American College of Chest Physicians

Pulmonary Function following Adult Respiratory Distress Syndrome

John B. Downs M.D.1 and Gerald N. Olsen M.D.1

1 Departments of Anesthesiology and Medicine, University of Florida College of Medicine, Gainesville

The recognized incidence of the adult respiratory distress syndrome (ARDS) has increased. While the etiology can be variable, the common denominators are usually an acute loss of pulmonary surfactant and an increase in pulmonary water, which result in a large intrapulmonary right-to-left shunt. Treatment usually consists of continuous positive pressure ventilation (CPPV) and intravenous administration of corticosteroid drugs. With careful management, survival frequently results and arterial oxygenation returns to normal. This report indicates that residual pulmonary damage may persist for many months following ARDS, despite a return to normal arterial oxygenation.




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Copyright © 1974 by the American College of Chest Physicians.