The Berlin definition of acute respiratory distress syndrome: should patients receiving high-flow nasal oxygen be included?

被引：93

作者：

Matthay, Michael A. ^{[1
,2
]}

Thompson, B. Taylor ^{[3
]}

Ware, Lorraine B. ^{[4
]}

机构：

[1] Univ Calif San Francisco, Dept Med, Cardiovasc Res Inst, San Francisco, CA 94143 USA

[2] Univ Calif San Francisco, Dept Anesthesia, Cardiovasc Res Inst, San Francisco, CA 94143 USA

[3] Harvard Med Sch, Massachusetts Gen Hosp, Div Pulm & Crit Care Med, Boston, MA 02115 USA

[4] Vanderbilt Univ, Sch Med, Dept Med, Div Allergy Pulm & Crit Care Med, Nashville, TN 37212 USA

来源：

LANCET RESPIRATORY MEDICINE | 2021年 / 9卷 / 08期

关键词：

ACUTE LUNG INJURY; CANNULA; PRESSURE; IDENTIFICATION; MECHANISMS; MORTALITY; OUTCOMES; FAILURE; ADULT; CARE;

D O I：

10.1016/S2213-2600(21)00105-3

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The 2012 Berlin definition of acute respiratory distress syndrome (ARDS) provided validated support for three levels of initial arterial hypoxaemia that correlated with mortality in patients receiving ventilatory support. Since 2015, high-flow nasal oxygen (HFNO) has become widely used as an effective therapeutic support for acute respiratory failure, most recently in patients with severe COVID-19. We propose that the Berlin definition of ARDS be broadened to include patients treated with HFNO of at least 30 L/min who fulfil the other criteria for the Berlin definition of ARDS. An expanded definition would make the diagnosis of ARDS more widely applicable, allowing patients at an earlier stage of the syndrome to be recognised, independent of the need for endotracheal intubation or positive-pressure ventilation, with benefits for the testing of early interventions and the study of factors associated with the course of ARDS. We identify key questions that could be addressed in refining an expanded definition of ARDS, the implementation of which could lead to improvements in clinical practice and clinical outcomes for patients.

引用

页码：933 / 936

页数：4

共 34 条

[1]

ASHBAUGH DG, 1967, LANCET, V2, P319

[2] Effect of High-Flow Nasal Oxygen vs Standard Oxygen on 28-Day Mortality in Immunocompromised Patients With Acute Respiratory Failure The HIGH Randomized Clinical Trial [J].

Azoulay, Elie ;

Lemiale, Virginie ;

Mokart, Djamel ;

Nseir, Saad ;

Argaud, Laurent ;

Pene, Frederic ;

Kontar, Loay ;

Bruneel, Fabrice ;

Klouche, Kada ;

Barbier, Francois ;

Reignier, Jean ;

Berrahil-Meksen, Lilia ;

Louis, Guillaume ;

Constantin, Jean-Michel ;

Mayaux, Julien ;

Wallet, Florent ;

Kouatchet, Achille ;

Peigne, Vincent ;

Theodose, Igor ;

Perez, Pierre ;

Girault, Christophe ;

Jaber, Samir ;

Oziel, Johanna ;

Nyunga, Martine ;

Terzi, Nicolas ;

Bouadma, Lila ;

Lebert, Christine ;

Lautrette, Alexandre ;

Bige, Naike ;

Raphalen, Jean-Herle ;

Papazian, Laurent ;

Darmon, Michael ;

Chevret, Sylvie ;

Demoule, Alexandre .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2018, 320 (20) :2099-2107

[3] Epidemiology, Patterns of Care, and Mortality for Patients With Acute Respiratory Distress Syndrome in Intensive Care Units in 50 Countries [J].

Bellani, Giacomo ;

Laffey, John G. ;

Pham, Tai ;

Fan, Eddy ;

Brochard, Laurent ;

Esteban, Andres ;

Gattinoni, Luciano ;

van Haren, Frank ;

Larsson, Anders ;

McAuley, Daniel F. ;

Ranieri, Marco ;

Rubenfeld, Gordon ;

Thompson, B. Taylor ;

Wrigge, Hermann ;

Slutsky, Arthur S. ;

Pesenti, Antonio .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2016, 315 (08) :788-800

[4] Severe Covid-19 [J].

Berlin, David A. ;

Gulick, Roy M. ;

Martinez, Fernando J. .

NEW ENGLAND JOURNAL OF MEDICINE, 2020, 383 (25) :2451-2460

[5] THE AMERICAN-EUROPEAN CONSENSUS CONFERENCE ON ARDS - DEFINITIONS, MECHANISMS, RELEVANT OUTCOMES, AND CLINICAL-TRIAL COORDINATION [J].

BERNARD, GR ;

ARTIGAS, A ;

BRIGHAM, KL ;

CARLET, J ;

FALKE, K ;

HUDSON, L ;

LAMY, M ;

LEGALL, JR ;

MORRIS, A ;

SPRAGG, R ;

COCHIN, B ;

LANKEN, PN ;

LEEPER, KV ;

MARINI, J ;

MURRAY, JF ;

OPPENHEIMER, L ;

PESENTI, A ;

REID, L ;

RINALDO, J ;

VILLAR, J ;

VANASBECK, BS ;

DHAINAUT, JF ;

MANCEBO, J ;

MATTHAY, M ;

MEYRICK, B ;

PAYEN, D ;

PERRET, C ;

FOWLER, AA ;

SCHALLER, MD ;

HUDSON, LD ;

HYERS, T ;

KNAUS, W ;

MATTHAY, R ;

PINSKY, M ;

BONE, RC ;

BOSKEN, C ;

JOHANSON, WG ;

LEWANDOWSKI, K ;

REPINE, J ;

RODRIGUEZROISIN, R ;

ROUSSOS, C ;

ANTONELLI, MA ;

BELOUCIF, S ;

BIHARI, D ;

BURCHARDI, H ;

LEMAIRE, F ;

MONTRAVERS, P ;

PETTY, TL ;

ROBOTHAM, J ;

ZAPOL, W .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1994, 149 (03) :818-824

[6] The utility of high-flow nasal oxygen for severe COVID-19 pneumonia in a resource-constrained setting: A multi-centre prospective observational study [J].

Calligaro, Gregory L. ;

Lalla, Usha ;

Audley, Gordon ;

Gina, Phindile ;

Miller, Malcolm G. ;

Mendelson, Marc ;

Dlamini, Sipho ;

Wasserman, Sean ;

Meintjes, Graeme ;

Peter, Jonathan ;

Levin, Dion ;

Dave, Joel A. ;

Ntusi, Ntobeko ;

Meier, Stuart ;

Little, Francesca ;

Moodley, Desiree L. ;

Louw, Elizabeth H. ;

Nortje, Andre ;

Parker, Arifa ;

Taljaard, Jantjie J. ;

Allwood, Brian W. ;

Dheda, Keertan ;

Koegelenberg, Coenraad F. N. .

ECLINICALMEDICINE, 2020, 28

[7] High-Flow Oxygen, Positive End-Expiratory Pressure, and the Berlin Definition of Acute Respiratory Distress Syndrome: Are They Mutually Exclusive? [J].

Chertoff, Jason .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2017, 196 (03) :396-397

[8] Early Identification of Acute Respiratory Distress Syndrome in the Absence of Positive Pressure Ventilation: Implications for Revision of the Berlin Criteria for Acute Respiratory Distress Syndrome [J].

Coudroy, Remi ;

Frat, Jean-Pierre ;

Boissier, Florence ;

Contou, Damien ;

Robert, Rene ;

Thille, Arnaud W. .

CRITICAL CARE MEDICINE, 2018, 46 (04) :540-546

[9] High-Flow Nasal Cannula in Critically Ill Patients with Severe COVID-19 [J].

Demoule, Alexandre ;

Baron, Antoine Vieillard ;

Darmon, Michael ;

Beurton, Alexandra ;

Geri, Guillaume ;

Voiriot, Guillaume ;

Dupont, Thibault ;

Zafrani, Lara ;

Girodias, Lola ;

Labbe, Vincent ;

Dres, Martin ;

Fartoukh, Muriel ;

Azoulay, Elie .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2020, 202 (07) :1039-1042

[10] Pediatric acute lung injury - Prospective evaluation of risk factors associated with mortality [J].

Flori, HR ;

Glidden, DV ;

Rutherford, GW ;

Matthay, MA .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2005, 171 (09) :995-1001

← 1 2 3 4 →