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01-04-2013 | Editorial

Defining ARDS: do we need a mandatory waiting period?

Authors: V. Marco Ranieri, Gordon D. Rubenfeld, B. Taylor Thompson

Published in: Intensive Care Medicine | Issue 4/2013

Excerpt

Acute respiratory distress syndrome (ARDS) is a devastating clinical picture known to all clinicians that deal with critically ill patients. We all have in mind the clinical hallmarks that identified the ARDS patients treated in our clinical practice: severe respiratory distress; hypoxemic respiratory failure refractory to O₂ administration; standard chest X-ray showing pulmonary edema that is not the result of congestive heart failure or fluid overload; a silent clinical history for chronic respiratory disease [1]. The need for admitting these patients in an ICU for mechanical ventilation with positive end-expiratory pressure (PEEP) and high inspiratory O₂ fraction (FiO₂) are the unquestionable therapeutic guidelines we all have clear in mind when dealing with these patients [1]. …

Ashbaugh DG, Bigelow DB, Petty TL, Levine BE (1967) Acute respiratory distress in adults. Lancet 2:319–323PubMedCrossRef

Hall HI, Correa A, Yoon PW, Braden CR (2012) Lexicon, definitions, and conceptual framework for public health surveillance. MMWR Surveill Summ 61(Suppl):10–14PubMed

Christley Y, Duffy T, Martin CR (2012) A review of the definitional criteria for chronic fatigue syndrome. J Eval Clin Pract 18:25–31PubMedCrossRef

Torelli P, Manzoni GC (2012) A redefinition of primary headache: chronic migraine. Neurol Sci Off J Italian Neurol Soc Italian Soc Clin Neurophysiol 33(Suppl 1):S17–S20

Rubenfeld GD (2003) Epidemiology of acute lung injury. Crit Care Med 31:S276–S284PubMedCrossRef

Bernard GR, Artigas A, Brigham KL, Carlet J, Falke K, Hudson L, Lamy M, Legall JR, Morris A, Spragg R (1994) The American–European consensus conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med 149:818–824PubMed

Bernard GR, Artigas A, Brigham KL, Carlet J, Falke K, Hudson L, Lamy M, LeGall JR, Morris A, Spragg R (1994) Report of the American–European consensus conference on ARDS: definitions, mechanisms, relevant outcomes and clinical trial coordination. The Consensus Committee. Intensive Care Med 20:225–232PubMedCrossRef

Artigas A, Bernard GR, Carlet J, Dreyfuss D, Gattinoni L, Hudson L, Lamy M, Marini JJ, Matthay MA, Pinsky MR, Spragg R, Suter PM (1998) The American–European consensus conference on ARDS, part 2. Ventilatory, pharmacologic, supportive therapy, study design strategies and issues related to recovery and remodeling. Intensive Care Med 24:378–398PubMedCrossRef

Artigas A, Bernard GR, Carlet J, Dreyfuss D, Gattinoni L, Hudson L, Lamy M, Marini JJ, Matthay MA, Pinsky MR, Spragg R, Suter PM (1998) The American–European consensus conference on ARDS, part 2: ventilatory, pharmacologic, supportive therapy, study design strategies, and issues related to recovery and remodeling. Acute respiratory distress syndrome. Am J Respir Crit Care Med 157:1332–1347PubMed

10.

Ware LB, Matthay MA (2000) The acute respiratory distress syndrome. New Engl J Med 342:1334–1349PubMedCrossRef

11.

Li G, Malinchoc M, Cartin-Ceba R, Venkata CV, Kor DJ, Peters SG, Hubmayr RD, Gajic O (2011) Eight-year trend of acute respiratory distress syndrome: a population-based study in Olmsted County, Minnesota. Am J Respir Crit Care Med 183:59–66PubMedCrossRef

12.

Rubenfeld GD, Caldwell E, Peabody E, Weaver J, Martin DP, Neff M, Stern EJ, Hudson LD (2005) Incidence and outcomes of acute lung injury. New Engl J Med 353:1685–1693PubMedCrossRef

13.

Phua J, Badia JR, Adhikari NK, Friedrich JO, Fowler RA, Singh JM, Scales DC, Stather DR, Li A, Jones A, Gattas DJ, Hallett D, Tomlinson G, Stewart TE, Ferguson ND (2009) Has mortality from acute respiratory distress syndrome decreased over time? A systematic review. Am J Respir Crit Care Med 179:220–227PubMedCrossRef

14.

Levy MM (2004) PEEP in ARDS—how much is enough? New Engl J Med 351:389–391PubMedCrossRef

15.

Ferguson ND, Frutos-Vivar F, Esteban A, Fernandez-Segoviano P, Aramburu JA, Najera L, Stewart TE (2005) Acute respiratory distress syndrome: underrecognition by clinicians and diagnostic accuracy of three clinical definitions. Crit Care Med 33:2228–2234PubMedCrossRef

16.

Villar J, Perez-Mendez L, Lopez J, Belda J, Blanco J, Saralegui I, Suarez-Sipmann F, Lopez J, Lubillo S, Kacmarek RM (2007) An early PEEP/FIO2 trial identifies different degrees of lung injury in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 176:795–804PubMedCrossRef

17.

Ranieri VM, Rubenfeld GD, Thompson BT, Ferguson ND, Caldwell E, Fan E, Camporota L, Slutsky AS (2012) Acute respiratory distress syndrome: the Berlin Definition. JAMA 307:2526–2533PubMed

18.

Ferguson ND, Fan E, Camporota L, Antonelli M, Anzueto A, Beale R, Brochard L, Brower R, Esteban A, Gattinoni L, Rhodes A, Slutsky AS, Vincent JL, Rubenfeld GD, Thompson BT, Ranieri VM (2012) The Berlin definition of ARDS: an expanded rationale, justification, and supplementary material. Intensive Care Med 38:1573–1582PubMedCrossRef

19.

Angus DC (2012) The acute respiratory distress syndrome: what’s in a name? JAMA, J Am Med Assoc 307:2542–2544CrossRef

20.

Camporota L, Ranieri VM (2012) What’s new in the “Berlin” definition of acute respiratory distress syndrome? Minerva Anestesiol 78:1162–1166PubMed

21.

Villar J, Pérez-Méndez L, Blanco J, Añón JM, Blanch L, Belda J, Santos-Bouza A, Fernández RL, Kacmarek RM, Spanish Initiative for Epidemiology, Stratification, and Therapies for ARDS (SIESTA) Network (2013) A universal definition of ARDS: the PaO₂/FiO₂ ratio under a standard ventilatory setting—a prospective, multicenter validation study. Intensive Care Med. doi:10.1007/s00134-012-2803-x

22.

Britos M, Smoot E, Liu KD, Thompson BT, Checkley W, Brower RG (2011) The value of positive end-expiratory pressure and Fio(2) criteria in the definition of the acute respiratory distress syndrome. Crit Care Med 39:2025–2030PubMedCrossRef

23.

Matthay MA, Thompson BT, Read EJ, McKenna DH Jr, Liu KD, Calfee CS, Lee JW (2010) Therapeutic potential of mesenchymal stem cells for severe acute lung injury. Chest 138:965–972PubMedCrossRef

24.

Tu JV, Willison DJ, Silver FL, Fang J, Richards JA, Laupacis A, Kapral MK (2004) Impracticability of informed consent in the Registry of the Canadian Stroke Network. New Engl J Med 350:1414–1421PubMedCrossRef

25.

Ellsworth DL, Manolio TA (1999) The emerging importance of genetics in epidemiologic research II. Issues in study design and gene mapping. Ann Epidemiol 9:75–90PubMedCrossRef

Title: Defining ARDS: do we need a mandatory waiting period?
Authors: V. Marco Ranieri
Gordon D. Rubenfeld
B. Taylor Thompson
Publication date: 01-04-2013
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 4/2013
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-013-2834-y

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