Diagnostic criteria of acute respiratory distress syndrome: what to update

doi:10.3877/cma.j.issn.2096-1537.2024.02.004

Abstract

Abstract:

Early identification and diagnosis of acute respiratory distress syndrome (ARDS) and evaluation of ARDS severity are key steps for clinical treatment and predicting prognosis. So far, there are still many issues with Berlin definition of ARDS, such as inaccurate onset time, obscurious imaging criteria, lack of diagnostic biomarkers, absence of criteria for high-flow nasal catheter oxygen therapy.The pandemic COVID-19 has expanded definition of ARDS. In order to make further understanding of ARDS and to guide clinical treatment, updating ARDS diagnostic criteria is necessary and important. This article discusses about what needs to be updated in ARDS diagnostic criteria.

Key words: Acute respiratory distress syndrome, Diagnosis, PaO₂/FiO₂, Imageology, High flow nasal cannula oxygenation

Yongguang Wang, Peng Zhu, Qianjin Xu, Guifen Gan, Zhongshan Shi, Chun Pan. Diagnostic criteria of acute respiratory distress syndrome: what to update[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2024, 10(02): 113-117.

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