A R D S

Administration:

Dr L. Bindl
Pediatric Intensive Care Unit
University Childrenīs Hospital - Bonn, Germany
e-mail: bindl@mailer.meb.uni-bonn.de
fax: (049) 0228 / 287-3314

 

 


ENTER ONLY PATIENTS FULFILLING ALL OF THE FOLLOWING DIAGNOSTIC CRITERIA :

  1. Syndrome of inflammation and increased permeability ..which is acute in onset and persistent e.g lasting days to weeks. .Chronic lung diseases such as interstitial pulmonary fibrosis, sarcoidosis and others that would technically meet the criteria are excluded".
  2. Exclusion of cardiac malformation with right to left -shunting
  3. Exclusion (clinical, echocardiographic or invasive) of cardiac pulmonary edema ( Pulmonary arterial wedge pressure < 18mmHg if measured)
  4. Bilateral alveolar infiltration on the chest X-ray
  5. paO2/FiO2-ratio < 200mmHg due to alveolar disease (not to airway obstruction).

Reference:
Bernard GR et al. The American-European Consensus Conference on ARDS. AmJRespir Crit Care Med 1994,149:818-824.

GENERAL DATA
Year of diagnosis:  
Month of diagnosis:  
Code: Your ARDS network code of your institution
Year of birth:  
Month of birth:  
Gender:  
DIAGNOSIS (full text plus ICD 9)
Acute causative disease 1:  
ICD-9 for acute causative disease 1:  
Acute causative disease 2:  
ICD-9 for acute causative disease 2:  
Acute causative disease 3:  
ICD-9 for acute causative disease 3:  
Chronic disease 1:  
ICD-9 for chronic disease 1:  
Chronic disease 2:  
ICD-9 for chronic disease 2:  
Immunocompromising condition.:  
Infection:  
Infection, causative for ARDS:  
Infection, complicating ARDS.:  
SEVERITY OF ACUTE DISEASE
PRISM III (0-12hrs from intubation): (0-50)
Multiple Organ Failure
MOF at onset:  
MOF later incourse:  
SEVERITY OF RESPIRATORY FAILURE
p/F-ratio, lowest, lasting >4hrs.: (20 - 200 mmHg)
p/F-ratio 24hrs from onset.: (20 - 200 mmHg)
p/F-ratio 48hrs from onset.: (20 - 200 mmHg)
FiO2 >0,4 (days).: (1 - 150)
VENTILATOR THERAPY
Predominant mode
Pressure controlled:  
Volume controlled:  
BIPAP:  
Pressure support ventilation.:  
Inverse ratio:  
HFOV.:  
PIP (plateau) >35cm H2O for >12hrs.:  
Maximum PIP-level (cm H2O).: (20 - 100)
Maximum PEEP-level (cm H2O): (0 - 25)
Maximum tidal volume at FiO2 > 0,4.: (0 - 1000 ml)
Body weight: (kg)
Permissive hypercapnia.:  
Ventilator days:  
NON-CONVENTIONAL TREATMENT
iNO:  
Surfactant.:  
ECMO.:  
Cooling:  
Continuous intratracheal gas insufflation:  
Other treatment:  
TRANSFER BECAUSE OF ARDS
from other hospital because of ARDS:  
to other hospital:  
OUTCOME
Survived ICU.:  
Survived >100 days post ICU:  
Length of ICU stay.: (days)
death from (several answers possible)
Refractory septic shock:  
Hypoxemia:  
Right heart failure:  
Left heart failure.:  
Liver failure:  
Renal failure:  
Uncontrolled bleeding:  
Cerebral.:  
death from other.:  
Withdrawal.:  
Autopsy:  
Stored specimen:  

Zuletzt bearbeitet: Freitag, 20-Aug-1999 10:02:57 CEST von Yehya Mohamad
Kontakt via E-Mail: ymohamad@mailer.meb.uni-bonn.de