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Table 1 Current definition of ARDS: the Berlin definition [3]

From: Biomarkers for Acute Respiratory Distress syndrome and prospects for personalised medicine

Timing

Within 1 week of a known clinical insult or new or worsening respiratory symptoms

Chest imaging (chest radiograph or computed tomography scan)

Bilateral opacities; not fully explained by effusions, lobar/lung collapse, or nodules

Origin of edema

Respiratory failure not fully explained by cardiac failure or fluid overload

Need objective assessment (e.g., echocardiography) to exclude hydrostatic edema if no risk factor present

Oxygenation

Mild

200 mmHg < PaO2/FIO2 ≤ 300 mmHg with PEEP or CPAP ≥5 cmH2O

Moderate

100 mmHg < PaO2/FIO2 ≤ 200 mmHg with PEEP ≥5 cmH2O

Severe

PaO2/FIO2 ≤ 100 mmHg with PEEP ≥5 cmH2O