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Acute respiratory distress syndrome (ARDS, andnödssyndrom)

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Definition:
Ett tillstånd med hypoxisk lungsvikt som vanligen är en komplikation till en annan akut sjukdom, och som inte beror på hjärtsjukdom eller hypervolemi. 
Förekomst:
Ovanligt tillstånd, men förekomsten har ökad i samband med covid-19-pandemin.
Symtom:
Dyspné.
Kliniska fynd:
Allmänpåverkad patient med takypné. Eventuellt cyanos, förvirring, medvetandesänkning. Nedsatt saturation. 
Diagnostik:
Diagnosen baseras på särskilda diagnoskriterier, där bilddiagnostik och oxygeneringsindex ingår. 
Behandling:
Behandling av utlösande orsak, ventilationsstöd. 
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  • Remy Waardenburg, specialist i allmänmedicin, medicinsk redaktör Medibas