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It details the primary causes, including direct lung injuries such as acid aspiration, toxin inhalation, and pneumonia, as well as indirect injuries like sepsis, severe trauma, and acute pancreatitis. The pathological features of ARDS are described, highlighting hyaline membrane formation and surfactant loss, while clinical manifestations and diagnostic criteria are outlined, emphasizing the onset, bilateral lung opacities, respiratory failure, hypoxemia, and characteristic symptoms like dyspnea and cyanosis. The management section covers crucial interventions such as prone positioning, oxygen therapy, fluid management, mechanical support including mechanical ventilation and ECMO, and pharmacological treatments including diuretics, neuromuscular blockers, steroids, surfactant, nitric oxide, epoprostenol, antibiotics, and bronchodilators. Finally, potential complications of ARDS are listed, including permanent lung injury, renal and multi-organ failure, stress ulcers, complications from mechanical ventilation, and infections. 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