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Acute Respiratory Distress Syndrome

Thumbnail image of: Respiratory System: Illustration

What is acute respiratory distress syndrome?

Acute respiratory distress syndrome (ARDS) is a serious injury to the lungs. There is damage to the tiny air sacs (alveoli) and small blood vessels in the lungs. The damage prevents the exchange of oxygen and carbon dioxide between the lungs and the blood. This means that there is less oxygen in the blood and various parts of the body do not get enough oxygen to work properly.

What is the cause?

No one is sure about exactly what triggers ARDS, but it usually happens when you are already seriously ill or severely injured. Examples of conditions that can cause it include:

  • drug overdose
  • bacterial infection in the blood (sepsis)
  • pneumonia
  • aspiration, which can happen if you breathe in the contents of your stomach
  • near drowning
  • breathing in poisons
  • multiple blood transfusions
  • severe injury

ARDS usually develops very quickly—within 12 to 48 hours after the event that caused it.

What are the symptoms?

Early symptoms of ARDS may include:

  • faster breathing rate
  • severe trouble breathing
  • agitation
  • faster heart rate

You may stop breathing and need a ventilator, also called a mechanical respirator, to help you breathe.

How is it diagnosed?

Your healthcare provider will ask about your symptoms and examine you. You will have a chest X-ray and a blood test called an arterial blood gas (ABG) test.

How is it treated?

ARDS is treated in the intensive care unit of the hospital. The treatment may include the following:

  • finding and treating the problem that seems to have caused the ARD
  • helping your breathing with a ventilator and oxygen
  • intravenous (IV) fluids
  • close monitoring to make sure that fluid is not collecting in the lungs
  • medicines, such as antibiotics to treat infection, anti-inflammatory medicines, diuretics, anti-anxiety drugs, and inhaled medicines to open up the airway

How long will the effects last?

ARDS is often fatal. People who do survive it may have normal lung function again in 6 to 12 months. Survivors of more serious cases may have permanent pulmonary fibrosis. Pulmonary fibrosis is an illness in which the air sacs of the lungs become inflamed and are gradually replaced by scar tissue. The illness causes long-term breathing problems.

How can I help prevent ARDS?

ARDS can be hard to prevent because it can be caused by a variety of things. However, the risk of aspiration, one of the causes of ARDS, can be reduced by raising the head of the hospital beds.


Lee A. Mancini, MD, CSCS, CSN
Adult Advisor 2012.1 published by RelayHealth.
Last modified: 2012-01-20
Last reviewed: 2011-07-05
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
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