The Adult Respiratory Distress Syndrome: Volumetric Overload Shocks in Patho-Etiology, Correcting Errors and Misconceptions on Fluid Therapy, Vascular and Capillary Physiology_ Crimson Publishers
The Adult Respiratory Distress Syndrome: Volumetric Overload Shocks in
Patho-Etiology, Correcting Errors and Misconceptions on Fluid Therapy, Vascular
and Capillary Physiology by Ahmed N Ghanem* in Crimson Publishers: Surgery Open
Access Journal
Introduction and objective: To report critical literature analysis that shows volumetric
overload shock (VOS) is the real patho-etiology of the adult respiratory
distress syndrome (ARDS) demonstrating multiple errors and misconceptions on
fluid therapy that predisposes to VOS and ARDS.
Material and methods: The literature on ARDS and physiological law of starling is
critically analyzed revealing the multiple errors and misconceptions prevailing
in fluid therapy. Recent reports on VOS in the patho-etiology of ARDS are
summarized.
Result: The literature on ARDS and physiological law of starling is
critically analyzed revealing multiple errors and misconceptions. Starling’s
law is wrong as both of its forces do not work as proposed. Errors have been
corrected and the hydrodynamics of porous orifice G tube are advanced as
replacement for Starling’s law. The evidence confirmed VOS induced by
sodium-based fluids is the real patho-etiology of ARDS.
Conclusion: The critical literature analysis on ARDS and physiological law of
Starling rectified many errors and misconceptions. The hydrodynamics of the G
tube in a surrounding chamber C that mimics capillary-interstitial compartment
shows a magnetic fluid shaped phenomenon that gives a real replacement for
Starling’s law for the capillary-interstitial fluid transfer. The VOS proved to
be the real patho-etiology of ARDS.
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