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The increase in vascular permeability, due to capillary leakage, seems to be responsible for high density on CT lung examination and worsening of gas exchange in acute respiratory distress syndrome (ARDS) patients. An improvement of the PaO2/FiO2 ratio and ARDS reversal following lung water removal has been shown. The aim of our study was to investigate whether hourly depletion of high fluid volume through continuous renal replacement therapy (CRRT) could reverse posttraumatic ARDS. The body water redistribution in different compartments can lead to a rapid decrease in extravascular lung water (EVLW)

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High fluid volume removal with continuous renal replacement therapy as a therapeutic option for early posttraumatic acute respiratory distress syndrome