Health Dictionary
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Acute respiratory distress syndrome diagnostic criteria
Introduction
Overview
Overview
Established by the the European Society of Intensive Care Medicine in 2012, the Berlin definition is the most current set of diagnostic criteria for ARDS.
Diagnostic criteria
Diagnostic criteria
The Berlin Definition of Acute Respiratory Distress Syndrome
The diagnosis of ARDS is made when the following criteria are met:[1]
| The Berlin Definition of Acute Respiratory Distress Syndrome | |
|---|---|
| Timing | ❑ Within 1 week of a known clinical insult or new or worsening respiratory symptoms |
| Chest imaging a | ❑ Bilateral opacities – not fully explained by effusions, lobar/lung collapse, or nodules |
| Origin of edema | ❑ Respiratory failure not fully explained by cardiac failure or fluid overload ❑ Need objective assessment (e.g., echocardiography) to exclude hydrostatic edema if no risk factor present (see below) |
| Oxygenation b | |
|
❑ 200 mm Hg < PaO2/FiO2 ≤ 300 mm Hg with PEEP or CPAP ≥ 5 cm H2O c |
|
❑ 100 mm Hg < PaO2/FiO2 ≤ 200 mm Hg with PEEP ≥ 5 cm H2O |
|
❑ PaO2/FiO2 ≤ 100 mm Hg with PEEP ≥ 5 cm H2O |
|
a Chest radiograph or computed tomography scan. | |
| Risk Factors for Acute Respiratory Distress Syndrome | |
|---|---|
| Direct | Indirect |
|
|
References
References
- ↑ ARDS Definition Task Force. Ranieri VM, Rubenfeld GD, Thompson BT, Ferguson ND, Caldwell E; et al. (2012). “Acute respiratory distress syndrome: the Berlin Definition”. JAMA. 307 (23): 2526–33. doi:10.1001/jama.2012.5669. PMID 22797452.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Brian Shaller, M.D. [2]