May - 2012
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Acute Respiratory Distress Syndrome-The Berlin DefinitionThe ARDS Definition Task Force JAMA, 2012, 307(23):doi:10.1001/jama.2012.5669 This page is only available to Crit-IQ subscribers. To view the rest of this review and gain access to our vast array of critical care teaching tools including podcasts, vodcasts, modules, exam preparation tools, teaching aids and much more, login here, or Become a Member to register |
May |
Previous Comments
I'm not sure I understand how the changes make that much difference. Perhaps it just legitimises what we were doing anyway - I think everyone has been happy to call it ARDS if they don't think its cardiac, don't they? And everyone gets a CT now, so adding this to the diagnostic criteria seems to make little impact. The changes in severity just seems to slightly better define the whole ALI from ARDS thing. But the problem I find with this is when this measure is taken - they might start out in severe but with some lung recruitment and a bit of diuresis they're suddenly in the moderate group. I'm not sure that its going to make that much difference. | |
James O'Connor-31 May, 2012 08:34:52 AM | |
Comment
This paper describes the comparison of the new consensus Berlin Definition of ARDS (2011) compared to the traditional AECC definition (1994) in meta-analysis data from over 4000 patients with ARDS.
The need for a new definition was based on issues regarding the AECC definition,...