Table 1.
The Berlin definition of acute respiratory distress syndrome | |
---|---|
| |
Timing | Within I week of a known clinical insult or new or worsening respiratory symptoms |
Chest imaginga | Bilateral opacities-not fully explained by effusions, lobar/lung collapse, or nodules |
Origin of edema | Respiratory failure not fully explained by cardiac failure or fluid overload. Need objective assessment (e.g. echocardiography) to exclude hydrostatic oedema if no risk factor present |
Oxygenationb | |
Mild | 200 mmHg <PaO2/FiO2 ≤300 mmHg with PEEP or CPAP ≥5 cmH2Oc |
Moderate | 100 mmHg <PaO2/FiO2 ≤200 mmHg with PEEP ≥5 cmH2O |
Severe | PaO2/FiO2 ≤100 mmHg with PEEP ≥5 cmH2O |
CPAP: continuous positive airway pressure; FiO2: fraction of inspired oxygen; PaO2: partial pressure of arterial oxygen; PEEP: positive end expiratory pressure;
Chest radiograph or computed tomography scan;
If altitude is higher than 1,000 m, the correction factor should be calculated as follows: [PaO2/FiO2− (barometric pressure/760)];
This may be delivered noninvasively in the mild acute respiratory distress syndrome group.