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How Is ARDS Classified According to the Berlin Definition?

Tim Gilmore, PhD, RRT, RRT-ACCS, RRT-NPS, CPFT, AE-C

July 15, 2024

Question

How is ARDS classified according to the Berlin Definition?

Answer

The Berlin Definition classifies ARDS into three categories based on the severity of hypoxemia, determined by the PF ratio (the ratio of the partial pressure of arterial oxygen to the fraction of inspired oxygen). Mild ARDS has a PF ratio greater than 200 but less than or equal to 300. Moderate ARDS is defined by a PF ratio of less than or equal to 200 but greater than or equal to 100. Severe ARDS is indicated by a PF ratio of less than or equal to 100. These classifications help in early identification and the implementation of appropriate treatment strategies to improve patient outcomes.

This Ask the Expert is an edited excerpt from the course, Acute Respiratory Distress Syndrome (ARDS) and What You Should Knowpresented by Tim Gilmore, PhD, RRT, RRT-ACCS, RRT-NPS, CPFT, AE-C.

 

Continued and its subsidiaries provide professional education authored by qualified Subject Matter Experts for continuing education purposes. These materials are intended for educational purposes and do not constitute medical advice or a substitute for individual clinical judgment. Continued is not a clinical healthcare provider; the licensed professional is solely responsible for ensuring that the application of any techniques or information presented is within their legal scope of practice and jurisdictional requirements.


tim gilmore

Tim Gilmore, PhD, RRT, RRT-ACCS, RRT-NPS, CPFT, AE-C

Dr. Gilmore is an Associate Professor of Cardiopulmonary Science (CPS) and the CPS Program Director at Louisiana State University Health Shreveport. He earned a PhD in Health Science from Nova Southeastern University, a Masters in Health Sciences and BS in Cardiopulmonary Science from LSU Health Shreveport, and an AS in Respiratory Therapy from Bossier Parish Community College (BPCC).

Dr. Gilmore’s research interests include ICU care, mechanical ventilation, asthma, and patient education. He is a member of the Louisiana Society for Respiratory Care, American Association for Respiratory Care, American Thoracic Society, and National Board for Respiratory Care. He is a Registered Respiratory Therapist with specialty credentials as a Neonatal Pediatric Specialist and Adult Critical Care Specialist, and he holds national certifications as a Pulmonary Functions Technologist and Asthma Educator. He also serves as a peer reviewer for the Respiratory Care Journal and an item writer for the NBRC.
 

 

 


Related Courses

Acute Respiratory Distress Syndrome (ARDS) and What You Should Know
Presented by Tim Gilmore, PhD, RRT, RRT-ACCS, RRT-NPS, CPFT, AE-C
Video

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Tim Gilmore, PhD, RRT, RRT-ACCS, RRT-NPS, CPFT, AE-C
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  'concise and clear presentation'   Read Reviews
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Cardiovascular Disease in Respiratory Care: Rethinking the Clinical Implications
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Noninvasive Ventilation (NIV)... Ventilation Before Intubation
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Noninvasive ventilation (NIV) before intubation provides an overview of respiratory failure and evidence-based considerations for the implementation of noninvasive positive pressure ventilation (NIPPV). The course is designed to provide the listener with additional perspective on applying NIPPV in the critical care environment.

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This presentation is intended to overview common ventilator scalars/graphics associated with various conditions common to the intensive care environment that result in patient discomfort and asynchrony. This presentation provides a detailed review of ventilator graphics in general.