Berlin_Criteria_for_ARDS_guideline v.1

Berlin Criteria for Acute Respiratory Distress Syndrome provides diagnostic criteria for acute respiratory distress syndrome (ARDS).

Maryam Razavi

maryam.razavi@cambio.se

@CambioCDS

To diagnose acute respiratory distress syndrome (ARDS) and its severity.

Can be used to patients with the possibility of ARDS. Formula: Selection of the appropriate criteria Required criteria (must have all three of the following): Timing within 1 week of clinical insult or new/worsening respiratory symptoms Chest XR shows bilateral opacities not fully explained by effusions, lobar/lung collapse, or nodules Respiratory failure not fully explained by cardiac failure/fluid overload Risk factor (one of the following): Risk factor for ARDS present (e.g. pneumonia, trauma, sepsis, pancreatitis) Objective assessment (Echo) excludes hydrostatic edema Severity (based on oxygenation, select one of the following): Mild: PaO₂/FiO₂ >200 to ≤300 mmHg with PEEP OR CPAP ≥5 cm H₂O Moderate: PaO₂/FiO₂ >100 to ≤200 mmHg with PEEP ≥5 cm H₂O Severe: PaO₂/FiO₂ ≤100 mmHg with PEEP ≥5 cm H₂O Question regarding presence of COVID-19 is for research purposes only; answer does NOT impact results.

1. Ranieri VM, Rubenfeld GD, Thompson BT, et al. Acute respiratory distress syndrome: the Berlin Definition. JAMA. 2012;307(23):2526-33. 2. Fan E, Brodie D, Slutsky AS. Acute Respiratory Distress Syndrome: Advances in Diagnosis and Treatment. JAMA. 2018;319(7):698-710.

OBSERVATION.berlin_criteria_for_acute_respiratory_distress_syndrome.v0