Table 1.

Some of the aspects we have done well and some we could have done better

	Did well	Could have done better
Preparation	Using other areas of the hospital to expand ICU capacity Distributing resources	Increasing resources when still in pre-epidemic period Providing more psychological support in some centers
Progress	Understanding the pathophysiology Improving general, especially respiratory, management Discovering benefit from corticosteroid administration	Increasing international collaboration Increasing definitive RCTs on therapeutic interventions in critically ill patients Decreasing enthusiasm for unproven and theoretical treatments Increasing research on susceptibility and host response factors
Personalization	Rapidly deciphering individual responses and patterns of disease	Individualizing ARDS management Paying more attention to tissue perfusion Making greater use of biomarkers to guide therapy
Prioritization	Developing guidelines	Discussing ethical uncertainties and optimizing ICU admissions in some centers Coordinating resources across centers