[Acute respiratory distress syndrome: a review of the Berlin definition].

Acute Respiratory Distress Syndrome (ARDS) is due to many causes. The absence of a universal definition up until now has led to a series of practical problems for a definitive diagnosis. The incidences of ARDS and Acute Lung Injury (ALI) vary widely in the current literature.

[Perioperative fluid therapy].

Physiologic balance between fluids and electrolytes should remain stable during the perioperative period. Gaps in our understanding of how this balance is maintained has given rise to inappropriate management practices. Both failure to replace lost fluids and the infusion of excessive amounts can lead to serious consequences for the patient.

[Myocarditis in the differential diagnosis of acute coronary syndrome].

A 69-year-old man with no remarkable medical history was admitted to the intensive care unit in septic shock due to severe community-acquired pneumonia. Twelve hours later he developed electrocardiographic abnormalities with ST elevation in leads II, III, aVF, V5, and V6 in the absence of chest pain and the presence of dyspnea, agitation, and hypertension. Serial measurements of cardiac enzymes were also elevated.