Respiratory failure & ventilation

A New Global Definition of Acute Respiratory Distress Syndrome

Am J Respir Crit Care MedPublished Consensus statement

Methodological detailsconsensus conference, six virtual meetings, Consensus conference of 32 critical care acute respiratory distress syndrome (ARDS) experts, six virtual meetings (June 2021 to March 2022), then input from members of several critical care societies
  • Consensus conference
  • Six virtual meetings
  • Consensus conference of 32 critical care ARDS experts, six virtual meetings (June 2021 to March 2022), then input from members of several critical care societies

Recommendations

As issued by the authors

  1. Include HFNO with a minimum flow rate of ⩾30 L/min

  2. Use PaO2:FiO2 ⩽ 300 mm Hg or SpO2:FiO2 ⩽ 315 (if SpO2 is ⩽97%) to identify hypoxemia

  3. Retain bilateral opacities for imaging criteria but add ultrasound as an imaging modality, especially in resource-limited areas

  4. In resource-limited settings, do not require PEEP, oxygen flow rate, or specific respiratory support devices

Original publication

A New Global Definition of Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med. Published 1 January 2024. doi:10.1164/rccm.202303-0558ws

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