Respiratory failure & ventilation

Is acute respiratory distress syndrome a preventable disease?

Intensive Care MedPublished Narrative review

Study context

Population
Acute respiratory distress syndrome (ARDS) prevention literature (clinical trials, population-based epidemiologic studies, implementation research, biological subphenotyping studies)
Outcome
Preventability of ARDS

Main finding

As reported in the abstract

  • Iatrogenic phenotypes: ARDS prevention has substantially succeeded
  • Transfusion-related acute lung injury declined dramatically after male-predominant plasma policies
  • Lung-protective ventilation started in ED and operating rooms reduced ARDS incidence and mortality
  • Bundled care (restrictive fluid and transfusion, aspiration precautions, early antimicrobials) further reduced iatrogenic lung injury
  • Pharmacologic prevention trials in unselected populations consistently disappointing, likely because subphenotypes respond differently
  • Population-attributable fraction of death from ARDS is modest; successful prevention may not give proportional mortality reduction

Original publication

Is acute respiratory distress syndrome a preventable disease? Intensive Care Med. Published 8 June 2026. doi:10.1007/s00134-026-08493-4

Composed by AI from the published abstract and checked against it. How Briefs are made →

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