Journal of Capital Medical University ›› 2013, Vol. 34 ›› Issue (2): 201-203.doi: 10.3969/j.issn.1006-7795.2013.02.007

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Berlin definition of acute respiratory distress syndrome: what has been changed?

DU Bin   

  1. Department of Medical ICU, Peking Union Medical College Hospital, Beijing 100730, China
  • Received:2013-01-16 Online:2013-04-21 Published:2013-04-17

Abstract:

Since the publication of American-European Consensus Conference(AECC) definition of acute respiratory distress syndrome(ARDS) in 1994, the limitations of the AECC definition were recognized. In 2012, the Berlin definition of ARDS was published, specifying the acute time frame, and creating illustrative vignettes to guide judgments about the primary cause of respiratory failure. However, the Berlin definition still classified the severity of oxygenation impairment by oxygenation index, which might be subject to the influence of inspired fraction of oxygen. In addition, there is no evidence that the reference set of chest radiographs helps to enhance inter-observer reliability. 【

Key words: acute respiratory distress syndrome, diagnostic criteria, definition

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