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Supplementary Table 1 Mechanisms of direct or indirect lung injury associated with the development of ARDS

From: Surfactant alteration and replacement in acute respiratory distress syndrome

Direct lung injury

Indirect lung injury

Most common causes

Most common causes

   Infection of the lung (viral, bacterial, fungal)

   Sepsis

   Aspiration of gastric contents (Mendelson's syndrome)

   Polytrauma with shock and multiple transfusions

Less common causes

Less common causes

   Near-drowning

   SIRS (systemic inflammatory response syndrome)

   Lung contusion

   TRALI (transfusion-related acute lung injury)

   Inhalation of toxic gases (NO2, ozone, smoke)

   DIC (disseminated intravascular coagulation)

   Exposure to high partial pressure of oxygen

   Open heart surgery with prolonged extracorporeal circulation

   Intoxication with pulmotropic agents

(e.g. cardiopulmonary bypass)

(bleomycin, paraquat, amiodarone)

   Acute pancreatitis

   High-altitude edema

   Severe burns

   Rapid lung re-expansion (e.g. after puncture of pleura effusions)

   Fat emboli

 

   Drug intoxication (halothane, heroin)

 

   Head trauma with increased intracranial pressures

 

   Severe forms of malaria, sickle-cell disease