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Berlin criteria for ARDS

Defines and grades acute respiratory distress syndrome.

Berlin criteria for ARDS
Onset within 1 week of a known insult or new/worsening symptoms
Bilateral opacities on chest imaging (not fully explained by effusions/collapse/nodules)
Respiratory failure not fully explained by cardiac failure or fluid overload
PaO2/FiO2 measured on PEEP or CPAP ≥5 cmH2O
PaO2
mmHg
FiO2 (fraction)
0.21–1.0
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When to use

  • Diagnosing and grading ARDS in the mechanically ventilated hypoxaemic patient.

Formula

All four required: onset ≤1 week, bilateral opacities, not fully cardiac/overload, PEEP ≥5. Grade by PaO2/FiO2: mild 200–300, moderate 100–200, severe ≤100 mmHg.

References

  1. ARDS Definition Task Force; Ranieri VM, et al. JAMA. 2012;307(23):2526-33.