Volume 5 Issue 3 - 2021
Cardiovascular and Hematological Manifestations of the Acute Respiratory Distress Syndrome (ARDS) Caused by the Newly Discovered Volumetric Overload Shocks (VOS). Is it Relevant to Covid-19 Pandemic ARDS?
Ahmed N Ghanem*
Retired Consultant Urologist Surgeon and Independent Investigator, Faculty of Medicine, Mansoura University, Mansoura, Egypt
*Corresponding Author: Ahmed N Ghanem, Retired Consultant Urologist Surgeon and Independent Investigator, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Received: February 02, 2021; Published: February 24, 2021

Keywords: Cardiovascular Manifestation; Hematological Manifestation; ARDS; Shock; Volume Overload; Covid-19


VOS: Volumetric Overload Shocks; ARDS: The Acute Respiratory Distress Syndrome; MODS: The Multiple Organ Dysfunction Syndromes; CVS: Cardiovascular System; VO: Volumetric Overload; L: Liter

Substantial physics and physiological evidence with clinical relevance and significance currently exists that affirm Starling's law wrong (Figure 1) [1-4], particularly now as the definitive affirmative proof is being reported [5]. Evidence that volumetric overload shocks (VOS) [6-9] cause the acute respiratory distress syndrome (ARDS) is also available [10,11]. These VOS are complications of fluid therapy in hospital practice, particularly in surgical patients due to many errors and misconceptions on fluid therapy [12] that mislead physicians into giving too much fluid during the resuscitation of shock, acutely ill patients, and prolonged major surgery [13]. The clinical manifestations of VOS causing ARDS is that of the multiple organ dysfunction syndromes (MODS) shown in table 1, among it are the cardiovascular system (CVS)and hematological manifestations of ARDS [14-16]. These include cardiac dysrhythmia particularly and characteristically bradycardia with signs of shock prevailing. This shock is always mistaken for one of the recognized shocks of septic or haemorrhagic and treated wrongly with further volume expansion using colloids/crystalloids and/or blood transfusion!


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Citation: Ahmed N Ghanem. “Cardiovascular and Hematological Manifestations of the Acute Respiratory Distress Syndrome (ARDS) Caused by the Newly Discovered Volumetric Overload Shocks (VOS). Is it Relevant to Covid-19 Pandemic ARDS?”. EC Emergency Medicine and Critical Care 5.3 (2021): 01-10.

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