In a new report posted online in the American Journal of Respiratory and Critical Care Medicine, a global consensus conference of 32 critical care experts with broad international representation and from diverse backgrounds has proposed a new definition of acute respiratory distress syndrome (ARDS).
Illustrative cases with patient descriptions, representative lung imaging and oxygenation data for the three categories of ARDS in the Global Definition: intubated ARDS , non-intubated ARDS and ARDS in a resource-variable setting . Note the patient in the resource-variable setting can be identified with either an ultrasound or chest radiograph. Also, only the patient with intubated ARDS meets criteria for the Berlin definition of ARDS. Arrow: endotracheal tube.
In addition to the experts, critical care societies from around the world provided input, once they received feedback from their members. The report, which builds on the 2012 Berlin Definition of ARDS, will be published Jan. 1, 2024 in the American Thoracic Society's AJRCCM. ARDS is a life-threatening illness in which the lungs are severely inflamed. It has a number of possible causes, including sepsis and severe pneumonia.
Leaders in the field saw the need for an expanded definition due to new research and developments in the diagnosis and treatment of ARDS such as:in place of measurement of arterial blood gases . Recent clinical trials in ARDS have used SpO
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