During multidisciplinary rounds, a discussion is held regarding the use of medications in acute respiratory distress syndrome (ARDS). Which statement is most accurate based upon published research findings?

Question

Quizplus · Accepted Answer

1. The use of corticosteroids is controversial with conflicting studies on its effectiveness in improving outcomes.
2. Surfactant therapy has proven very helpful in neonates but not in adults with ARDS.
3. Use of β-agonists such as albuterol appeared promising due to their ability to reduce pulmonary edema and inflammation and up-regulate sodium and water transport. Unfortunately, recent studies do not support their use; β-agonists may actually be harmful.
4. Inhaled nitrous oxide improves oxygenation by promoting blood flow to well-ventilated areas of the lung but has not been proven to improve outcomes at this time. It is proposed as a rescue therapy for refractory cases of ARDS.

During Multidisciplinary Rounds, a Discussion Is Held Regarding the Use