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 |