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With the growth of hospitals with PICUs in the 1980s, the American Academy of Pediatrics (AAP) and the pediatric section of the Society of Critical Care Medicine (SCCM) set forth guidelines in 1993 for PICUs. [9] Since the establishment of those guidelines, both the number of PICUs and number of PICU beds has been steadily increasing in the US.
Software configuration management (SCM), a.k.a. software change and configuration management (SCCM), [1] is the software engineering practice of tracking and controlling changes to a software system; part of the larger cross-disciplinary field of configuration management (CM). [2] SCM includes version control and the establishment of baselines.
It is the official publication of the Society of Critical Care Medicine and is published by Lippincott Williams & Wilkins. The Society of Critical Care Medicine produces a podcast for critical care clinicians, The iCritical Care Podcast. [2] The Society has participated in developing guidelines and policies with: Canadian Journal of Anesthesia [3]
Acute respiratory distress syndrome (ARDS) is a type of respiratory failure characterized by rapid onset of widespread inflammation in the lungs. [1] Symptoms include shortness of breath (dyspnea), rapid breathing (tachypnea), and bluish skin coloration (cyanosis). [ 1 ]
The pathophysiology of acute respiratory distress syndrome involves fluid accumulation in the lungs not explained by heart failure (noncardiogenic pulmonary edema). It is typically provoked by an acute injury to the lungs that results in flooding of the lungs' microscopic air sacs responsible for the exchange of gases such as oxygen and carbon dioxide with capillaries in the lungs. [1]
The permissive hypercapnia leads to respiratory acidosis which might have negative side effects, but given that the patient is in ARDS, improving ventilatory function is more important. Since hypoxemia is a major life-threatening condition and hypercapnia is not, one might choose to accept the latter. Hence the term, "permissive hypercapnia."
Acute interstitial pneumonitis is often categorized as both an interstitial lung disease and a form of acute respiratory distress syndrome (ARDS). In uncommon instances, if ARDS appears acutely, in the absence of known triggers, and follows a rapidly progressing clinical course, the term "Acute interstitial pneumonia" is used. [ 1 ]
Acute respiratory distress syndrome (ARDS) is a type of respiratory failure characterized by rapid onset of widespread inflammation in the lungs. Although ARDS can present with pulmonary edema (fluid accumulation), it is a distinct clinical syndrome that is not synonymous with pulmonary edema.