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May - 2012

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Showing Journal 6 of 21


Acute Respiratory Distress Syndrome-The Berlin Definition

The ARDS Definition Task Force JAMA, 2012, 307(23):doi:10.1001/jama.2012.5669

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,...


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