Management of Acute Respiratory Distress Syndrome (ARDS) in COVID-19 Patients

Clinical Signs and Symptoms

Management Approaches

As the disease affects mainly the lungs, the most frequently encountered complication of SARS COV2 is ARDS.

To diagnose ARDS Berlin criteria is used.

  • New onset/worsening of respiratory symptom
  • Bilateral lung opacities not explained by effusion, lobar/lung collapse or nodules by chest radiograph or ultrasound
  • Respiratory failure not fully explained by cardiac failure or fluid overload
  • Hypoxemia of different severity based on arterial blood gas determination (Pao2/FiO2): Mild if the ratio is 200-300, moderate 100-200 and severe if <100.
  • In ARDS If non-invasive support is not successful, intubation and mechanical ventilation are advised.