Clinical diagnostic criteria of the adult respiratory distress syndrome in the intensive care unit

Critical Care Medicine
D S Zaccardelli, E N Pattishall

Abstract

To determine the use of commonly used diagnostic criteria for adult/acute respiratory distress syndrome (ARDS), evaluate physiologic variables of most value in diagnosing ARDS, and assess the frequency of newly diagnosed ARDS. Self-administered questionnaire by mail. Hospital intensive care units (ICUs). Intensive care physicians (n = 923) in the United States listed as ICU directors in the Society of Critical Care Medicine Membership Directory. None. A total of 448 (48.5%) physicians responded, with 301 questionnaires completed. Bilateral infiltrates on chest radiograph, the PaO2/FIO2 ratio, and pulmonary artery occlusion pressure were the most commonly used diagnostic criteria. However, the actual values used to diagnose ARDS were highly variable. The most important clinical physiologic variable used in determining the respiratory status of the ARDS patient was the PaO2/FIO2 ratio, followed by shunt fraction, alveolar-arterial oxygen tension gradient, FIO2, PaO2, respiratory system compliance, and minute ventilation. Respondents indicated that 9% of ICU beds at their institutions were occupied by a patient diagnosed with ARDS within the previous 7 days and 18.6% of all mechanically ventilated patients had ARDS by their own cr...Continue Reading

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Citations

Jun 10, 2003·Critical Care Medicine·Christopher H GossUNKNOWN ARDS Network
Jun 10, 2004·Critical Care Medicine·Gordon D RubenfeldLeonard D Hudson
Aug 13, 2003·The Journal of Trauma·Patrick J Offner, Ernest E Moore
Sep 4, 2008·Critical Care Medicine·Jason PhuaNiall D Ferguson
Oct 1, 2007·Expert Review of Respiratory Medicine·Matthew ProutDavid M Guidot
Jan 14, 2000·Journal of the Royal College of Physicians of London·P K Plant, M W Elliott
Jan 13, 2016·Medicina intensiva·P Cardinal-FernándezF Rios
Aug 22, 2013·Critical Care Medicine·Shun YuMichelle Ng Gong
Feb 23, 2010·Critical Care Medicine·Cynthia M CelyAndrew A Quartin
Jun 14, 2006·Journal of Critical Care·Sergio Martínez-EscobarAntonio Rodríguez-Cuartero
Oct 6, 1999·The Annals of Thoracic Surgery·G AsimakopoulosK M Taylor
Jul 28, 2015·Heart & Lung : the Journal of Critical Care·Ayman O SoubaniHyejeong Jang
Aug 1, 1997·AACN Clinical Issues·N P BlumenthalR M Kotloff
Dec 1, 1996·The Journal of Trauma·M AufinkolkK P Schmit-Neuerburg
Oct 16, 2001·Journal of Neurosurgery·D RadesJ H Karstens
Sep 4, 2021·Chest·Paul E BoucherFiona Clement

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