# Exploring pharmacological strategies in the management of ARDS: Efficacy, limitations, and future directions

**Authors:** Sultan Almuntashiri

PMC · DOI: 10.2478/jccm-2025-0030 · The Journal of Critical Care Medicine · 2025-07-31

## TL;DR

This paper reviews current drug treatments for ARDS, highlighting their limited effectiveness and the need for better therapies.

## Contribution

The paper provides a comprehensive review of pharmacological strategies for ARDS, identifying gaps in current evidence.

## Key findings

- Current pharmacological treatments for ARDS have not consistently improved clinical outcomes.
- Corticosteroids, neuromuscular blocking agents, and beta-2 agonists remain the primary drugs used.
- Further research is needed to develop more effective therapies for ARDS.

## Abstract

Acute respiratory distress syndrome (ARDS) is a severe inflammatory reaction in the lungs caused by sudden pulmonary and systemic injuries. Clinically, this diverse syndrome is marked by sudden hypoxemic respiratory failure and the presence of bilateral lung infiltrates visible on a chest X-ray. ARDS management remains largely supportive, with a focus on optimizing mechanical ventilation strategies and addressing the underlying causes of lung injury. The current pharmacological approach for ARDS primarily focuses on corticosteroids, neuromuscular blocking agents, and beta-2 agonists, however, none has been definitively proven to be consistently effective in improving clinical outcomes. This review summarizes the latest evidence regarding the effectiveness and limitations of these pharmacological interventions, identifying key areas where further research is needed.

## Linked entities

- **Diseases:** ARDS (MONDO:0006502)

## Full-text entities

- **Diseases:** lung injury (MESH:D055370), lung infiltrates (MESH:D008171), hypoxemic respiratory failure (MESH:D012131), inflammatory (MESH:D007249), ARDS (MESH:D012128)
- **Chemicals:** beta-2 agonists (-)

## Full text

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## Figures

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## References

51 references — full list in the complete paper: https://tomesphere.com/paper/PMC12321257/full.md

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Source: https://tomesphere.com/paper/PMC12321257