Page 26 - Respiratory Failure
P. 26
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Clinical Manifestations
• Acute dyspnoea and hypoxemia within hours to days of an inciting event, such as trauma, sepsis,
drug overdose, massive transfusion, acute pancreatitis, or aspiration.
• Patients developing ARDS are critically ill, often with multisystem organ failure, and they may not
be capable of providing historical information.
➢ Typically, the illness develops within 12-48 hours after the inciting event, although, in rare
instances, it may take up to a few days.
• With the onset of lung injury, patients initially note dyspnoea with exertion.
➢ This rapidly progresses to severe dyspnoea at rest, tachypnoea, anxiety, agitation, and the
need for increasingly high concentrations of inspired oxygen.

