How to Cite: Sayed, M. M., Elatroush, H., Nassar, Y., Samir, N., & Elghoneme, M. O. (2022). Driving pressure versus right ventricular echocardiography parameters as a predictive for acute respiratory distress syndrome outcome. International Journal of Health Sciences, 6(S4), 498–513. https://doi.org/10.53730/ijhs.v6nS4.5548 International Journal of Health Sciences ISSN 2550-6978 E-ISSN 2550-696X © 2022. Corresponding author: Mohammed Mahmoud Sayed; Email: m.mahmoud0ICU@gmail.com Manuscript submitted: 27 Jan 2022, Manuscript revised: 18 Feb 2022, Accepted for publication: 9 March 2022 498 Driving pressure versus right ventricular echocardiography parameters as a predictive for acute respiratory distress syndrome outcome Mohammed Mahmoud Sayed Critical care medicine consultanat. National heart institute, Cairo, Egypt Email: m.mahmoud0ICU@gmail.com Hatem Elatroush Professor of critical care medicine, critical care medicine department, faculty of medicine, Cairo University Email: hatem.elatroush@kasralainy.edu.eg Yasser Nassar Professor of critical care medicine, critical care medicine department, faculty of medicine, Cairo University Email: ysnassar@kasralainy.edu.eg Nael Samir Assistant Professor of critical care medicine, critical care medicine department, faculty of medicine, Cairo University Email: Naelsamir@gmail.com Mohamed Omar Elghoneme Lecturer of critical care medicine, critical care medicine department, faculty of medicine, Cairo University Email: elghonemi@kasralainy.edu.eg Abstract---Background: Acute respiratory distress syndrome (ARDS) is an inflammatory disease that affects the lung in a heterogeneous manner , so that ,even ideal body weight (IBW) based tidal volume may apply different lung stress and strain according to the available aerated lung areas. Airway driving pressure (DP) is the difference between airway plateau pressure (P plat) and positive endexpiratory pressure (PEEP), it can be used as a bedside surrogate for lung stress in several previous studies. Acute corpulmonale manifested by pulmonary hypertension and right ventricular dysfunction occurs as a consequence for ARDS with a prevalence ( 25% to 61%) in