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. 2021 Mar 30;2021(3):CD009098. doi: 10.1002/14651858.CD009098.pub3
AECC American‐European Consensus Conference definitions
ALI criteria: acute onset, PaO₂/FIO₂≤ 300 (regardless of PEEP level), bilateral pulmonary infiltrates, lack of evidence of left heart failure
ARDS has the same clinical characteristics as ALI, except that PaO₂/FIO₂ in ARDS is ≤ 200 (Bernard 1994)
ALI Acute lung injury
APACHE II Acute Physiology and Chronic Health Evaluation II. Classification system of severity of disease
ARDS Acute respiratory distress syndrome
AUC Area under the curve
Berlin definition Mild ARDS: 200 mmHg < PaO₂/FIO₂ ≤ 300 mmHg with PEEP or CPAP ≥ 5 cmH₂O
Moderate ARDS: 100 mmHg < PaO₂/FIO₂ ≤ 200 mmHg with PEEP ≥ 5 cmH₂O
Severe ARDS: PaO₂/FIO₂ ≤ 100 mmHg with PEEP ≥ 5 cmH₂O (Ranieri 2012)
BMI Body mass index
Days free without organ failure Number of days a participant was without organ failure from Day 1 to Day 28
Days not spent in ICU Number of days a participant was not in the ICU from Day 1 to Day 28
Decremental PEEP trial PEEP titration along deflation limb of the pressure/volume curve with observation of changes in oxygenation and/or respiratory mechanics (Gernoth 2009)
Driving pressure Plateau pressure ‐ PEEP
ECMO Extracorporeal membrane oxygenation
Established ARDS Patients who meet ARDS criteria after 24 hours of standard ventilatory setting
FIO₂ Fraction of inspired oxygen
FRC Functional residual capacity
HFO High‐frequency oscillatory ventilation
ICU Intensive care unit
LIS Lung Injury Severity score (Murray 1988). Range 0 (normal) to 4 (most severe). LIS > 2.5 = ARDS
LOS Length of stay
Minute ventilation Product of tidal volume and respiratory rate
MV Mechanical ventilation
PaCO₂ Partial pressure of arterial carbon dioxide
PaO₂ Partial pressure of arterial oxygen
PaO₂/FIO₂ Relation between partial pressure of arterial/fractional inspired oxygen
PBW Predicted body weight
PEEP Positive end‐expiratory pressure
Persistent ARDS ARDS ventilated at standard setting for 24 hours that persists with PaO₂/FIO₂≤ 200
Pflex Upward shift in slope of the pressure‐volume curve
Pplat End‐inspiratory plateau pressure
Pwedge Pulmonary wedge pressure: pulmonary capillary wedge pressure; frequently used to assess left ventricular filling. It is measured by inserting a balloon into a branch of the pulmonary artery. The balloon is then inflated, which occludes the branch of the pulmonary artery, providing a pressure reading that is equivalent to pressure of the left atrium
Recruitment manoeuvre Manoeuvre for opening of collapsed alveoli to improve gas exchange and lung volume end‐expiration and to decrease VILI
RCT Randomised controlled trial
SpO₂ Arterial oxygen saturation (measured via pulse oximetry)
Static compliance (Cst) Determined by dividing tidal volume by the difference between pressure at the end of the inflation hold and PEEP
Strain Ratio between the amount of gas volume delivered during tidal breath and the amount of aerated lung receiving it
VFDs Ventilator‐free days: (28 ‐ x): if the patient is successfully weaned from mechanical ventilation within 28 days, where x is the number of days spent receiving mechanical ventilation
VILI Ventilator‐induced lung injury
Transpulmonary pressure Airway pressure minus pleural pressure
TV Tidal volume