Dr. Anil Gurnani, Group Director, Intensive Care & Anesthesiology, Kailash Group of Hospitals, will discuss the management of acute respiratory distress syndrome (ARDS) in this video. In mild ARDS, if the patient is hemodynamically stable and conscious, then non invasive ventilation can be tried. He will further explain that if the patient is hemodynamically unstable and is drowsy and PaO2:FiO2 ration is less than 150, then do not wait for non invasive ventilation to continue. Immediately start early invasive ventilation. He will further explain the invasive ventilation management is ARDS patients.