ARDS

ETIO, MANIFES KLIN, TALAK

 Etiologi
(Subagio et al, 2012)
Aspirasi
Sepsis cairan
Idiopatik lambung
30-50% 30%
 Manifestasi Klinis
(Harman, 2016)

Anamnesa
Sesak nafas
Nafas cepat dan dalam

Dispneu hiperpneu

PF Sianosis
RBK

DL

Penunjang
AGD
Foto Thoraks
PAWP
 Foto thoraks pasien ARDS

Gambar 1. Fase Awal ARDS Gambar 2. Fase Akhir ARDS

CT SCAN thoraks pasien ARDS

*infiltrat difus,
*ground glass appearance
* air bronchograms
 Manjemen Terapi
(Pediatric Acute Lung Injury Consensus Conference Group, 2015)
Tidal volume 3-6 ml/kgbb, PEEP 10-15 cmH20, HFOV,
Ventilatory not recommended Liquid Ventilation , cuffed ET
support

NO2 not for routine, not recommended ; surfactan,

Secondary chest phisioteraphy, kortikosteroid.
pulmonary

Sedasi, Neuromuscular blockade, Enteral nutrition,

Non Fluid management, Tranfusiom Hb<7g/dl
Pulmonary
Alogaritma Manajemen Terapi