Springer, Intensive Care Medicine, 3(41), p. 389-401, 2015
DOI: 10.1007/s00134-015-3707-3
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Acute respiratory distress syndromePrognosis of ARDS is not only related to physiological alterations and therapeutic strategies but to the underlying disease. Patients with malignancies and ARDS have received less attention. Outcomes were studied in a huge cohort of more than 1,000 patients with mainly haematological malignancies and infection-induced ARDS [1]. The most important point was that survival improved over time. The authors outlined the fact that non-invasive ventilation was used in 30 % of the patients but failed in 70 % of these. An important point corroborating epidemiological studies done in other categories of patients with acute respiratory failure was that non-invasive ventilation failure was associated with a worse outcome.The use of chest computed tomography is sometimes limited by the repetitive exposure to radiation. In a comparative study including 45 ARDS patients, reducing radiation by 70 % did not alter quantitative and visual anatomical analysis [2]. ...