VALI does NOT need to be distinguished from Acute respiratory distress syndrome because evaluation and management are the same
Both VALI and ARDS are a diagnosis of exclusion
Check for Deterioration after intubation and exclude other etiologies
CXR
Echocardiography
BNP
Below 100 pg/mL favors ARDS
But higher levels neither confirm heart failure nor exclude ARDS
CBC
Below 100 pg/mL favors ARDS
But higher levels neither confirm heart failure nor exclude ARDS
Noninvasive respiratory sampling
Lower respiratory tract can be sampled via tracheobronchial aspiration or mini-bronchoalveolar lavage (mini-BAL)
Tracheobronchial aspiration is performed by advancing a catheter through the endotracheal tube until resistance is met and then applying suction
Lower respiratory tract can be sampled via tracheobronchial aspiration or mini-bronchoalveolar lavage (mini-BAL)
Tracheobronchial aspiration is performed by advancing a catheter through the endotracheal tube until resistance is met and then applying suction
Ventilator associated lung injury
ARDS
Ventilator associated pneumonia
Cardiogenic Pulmonary Edema
Iatrogenic pneumothorax
Acute exacerbation of idiopathic pulmonary fibrosis
Lung transplant complications
Pneumonia