Applying the Berlin definition for acute respiratory dis- tress syndrome (ARDS) can be challenging in settings where access to arterial blood gas analysis and lung imag- ing studies is limited [1]. The recently proposed Kigali modification of the Berlin definition uses SpO2/FiO2 and lung ultrasound (LUS) instead of PaO2/FiO2 and chest film or lung computer tomography [2]. The diagnostic accuracy of the Kigali modification, though, is uncer- tain, since the Berlin definition could not be applied in Rwanda, where the Kigali modification was developed. The performance of the Kigali modification in inva- sively ventilated patients is even more uncertain, as most patients in the pivotal study of the Kigali modification were not receiving ventilatory support.
External confirmation and exploration of the Kigali modification for diagnosing moderate or severe ARDS
Pisani, Luigi;
2018-01-01
Abstract
Applying the Berlin definition for acute respiratory dis- tress syndrome (ARDS) can be challenging in settings where access to arterial blood gas analysis and lung imag- ing studies is limited [1]. The recently proposed Kigali modification of the Berlin definition uses SpO2/FiO2 and lung ultrasound (LUS) instead of PaO2/FiO2 and chest film or lung computer tomography [2]. The diagnostic accuracy of the Kigali modification, though, is uncer- tain, since the Berlin definition could not be applied in Rwanda, where the Kigali modification was developed. The performance of the Kigali modification in inva- sively ventilated patients is even more uncertain, as most patients in the pivotal study of the Kigali modification were not receiving ventilatory support.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
