Published July 12, 2026
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"Acute Respiratory Distress Syndrome in Critical Care Nursing: A Comprehensive Narrative Review of Assessment Strategies, Evidence-Based Interventions, and Patient Outcomes"
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Abstract: Acute Respiratory Distress Syndrome (ARDS) remains one of the most challenging conditions encountered in critical care settings, contributing significantly to morbidity, mortality, prolonged hospitalization, and healthcare resource utilization worldwide. Characterized by acute onset hypoxemia, bilateral pulmonary infiltrates, and non-cardiogenic pulmonary edema, ARDS develops secondary to various direct and indirect pulmonary insults, including pneumonia, sepsis, aspiration, trauma, and viral infections. The complexity of ARDS management necessitates a multidisciplinary approach in which critical care nurses play a pivotal role in early recognition, continuous monitoring, implementation of therapeutic interventions, prevention of complications, and facilitation of recovery. This narrative review examines the pathophysiology, clinical assessment, nursing interventions, and patient outcomes associated with ARDS in critical care practice. Emphasis is placed on evidence-based nursing strategies such as respiratory monitoring, mechanical ventilation management, prone positioning, sedation assessment, hemodynamic support, infection prevention, nutritional care, and psychological support. Furthermore, the review discusses short- and long-term outcomes among ARDS survivors and highlights the evolving responsibilities of critical care nurses in improving clinical outcomes. Understanding current evidence and integrating best nursing practices are essential for optimizing care delivery and enhancing recovery among patients with ARDS.
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References
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