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2. Cytokines attract
neutrophils into the alveolus
and interstitum, where they
damage the alveolar-capillary
membrane (ACM).
PEEP
Time
Fluid Management
• Increased lung water is the
underlying cause of many of
the clinical abnormalities in
ARDS (decreased compliance,
poor gas exchange,
atelectasis)
• After resolution of shock, effort
should be made to attempt
diuresis
• CVP used as guide, goal <4
• Shortens time on vent and ICU
length of stay (13 days vs 11
days)