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Am. J. Respir. Crit. Care Med., Vol 149, No. 3, Mar 1994, 818-824.

The American-European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination

GR Bernard, A Artigas, KL Brigham, J Carlet, K Falke, L Hudson, M Lamy, JR Legall, A Morris and R Spragg
Vanderbilt University, Nashville, Tennessee.

The acute respiratory distress syndrome (ARDS), a process of nonhydrostatic pulmonary edema and hypoxemia associated with a variety of etiologies, carries a high morbidity, mortality (10 to 90%), and financial cost. The reported annual incidence in the United States is 150,000 cases, but this figure has been challenged, and it may be different in Europe. Part of the reason for these uncertainties are the heterogeneity of diseases underlying ARDS and the lack of uniform definitions for ARDS. Thus, those who wish to know the true incidence and outcome of this clinical syndrome are stymied. The American- European Consensus Committee on ARDS was formed to focus on these issues and on the pathophysiologic mechanisms of the process. It was felt that international coordination between North America and Europe in clinical studies of ARDS was becoming increasingly important in order to address the recent plethora of potential therapeutic agents for the prevention and treatment of ARDS.


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BMJHome page
J. V. Peter, P. John, P. L Graham, J. L Moran, I. A. George, and A. Bersten
Corticosteroids in the prevention and treatment of acute respiratory distress syndrome (ARDS) in adults: meta-analysis
BMJ, May 3, 2008; 336(7651): 1006 - 1009.
[Abstract] [Full Text] [PDF]


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ChestHome page
M. Zambon and J.-L. Vincent
Mortality Rates for Patients With Acute Lung Injury/ARDS Have Decreased Over Time
Chest, May 1, 2008; 133(5): 1120 - 1127.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
J. A. Bastarache, L. Wang, Z. Wang, K. H. Albertine, M. A. Matthay, and L. B. Ware
Intra-alveolar tissue factor pathway inhibitor is not sufficient to block tissue factor procoagulant activity
Am J Physiol Lung Cell Mol Physiol, May 1, 2008; 294(5): L874 - L881.
[Abstract] [Full Text] [PDF]


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CMAJHome page
S. Sud MD, M. Sud BSc, J. O. Friedrich MD DPhil, and N. K.J. Adhikari MDCM MSc
Effect of mechanical ventilation in the prone position on clinical outcomes in patients with acute hypoxemic respiratory failure: a systematic review and meta-analysis
Can. Med. Assoc. J., April 22, 2008; 178(9): 1153 - 1161.
[Abstract] [Full Text] [PDF]


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Proc Am Thorac SocHome page
R. Kamp, X. Sun, and J. G. N. Garcia
Making Genomics Functional: Deciphering the Genetics of Acute Lung Injury
Proceedings of the ATS, April 15, 2008; 5(3): 348 - 353.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
R. M. Kacmarek
Last Word on Point:Counterpoint: High-frequency ventilation is/is not the optimal physiological approach to ventilate ARDS patients
J Appl Physiol, April 1, 2008; 104(4): 1241 - 1241.
[Full Text] [PDF]


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ChestHome page
X. Jia, A. Malhotra, M. Saeed, R. G. Mark, and D. Talmor
Risk Factors for ARDS in Patients Receiving Mechanical Ventilation for > 48 h
Chest, April 1, 2008; 133(4): 853 - 861.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
J. L. Bobadilla, R. B. Love, E. Jankowska-Gan, Q. Xu, L. D. Haynes, R. K. Braun, M. S. Hayney, A. Munoz del Rio, K. Meyer, D. S. Greenspan, et al.
Th-17, Monokines, Collagen Type V, and Primary Graft Dysfunction in Lung Transplantation
Am. J. Respir. Crit. Care Med., March 15, 2008; 177(6): 660 - 668.
[Abstract] [Full Text] [PDF]


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Eur. J. Cardiothorac. Surg.Home page
F. Leo, N. Venissac, D. Pop, P. Solli, P. Filosso, A. Minniti, D. Radice, and J. Mouroux
Postoperative exacerbation of chronic obstructive pulmonary disease. Does it exist?
Eur. J. Cardiothorac. Surg., March 1, 2008; 33(3): 424 - 429.
[Abstract] [Full Text] [PDF]


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J Bone Joint Surg BrHome page
J. R. Morley, R. M. Smith, H. C. Pape, D. A. MacDonald, L. K. Trejdosiewitz, and P. V. Giannoudis
Stimulation of the local femoral inflammatory response to fracture and intramedullary reaming: A PRELIMINARY STUDY OF THE SOURCE OF THE SECOND HIT PHENOMENON
J Bone Joint Surg Br, March 1, 2008; 90-B(3): 393 - 399.
[Abstract] [Full Text] [PDF]


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ChestHome page
K.-L. Huang, C.-W. Chen, S.-J. Chu, W.-C. Perng, and C.-P. Wu
Systemic Inflammation Caused by White Smoke Inhalation in a Combat Exercise
Chest, March 1, 2008; 133(3): 722 - 728.
[Abstract] [Full Text] [PDF]


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CJASNHome page
K. D. Liu and M. A. Matthay
Advances in Critical Care for the Nephrologist: Acute Lung Injury/ARDS
Clin. J. Am. Soc. Nephrol., March 1, 2008; 3(2): 578 - 586.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
A. L. Lagan, D. D. Melley, T. W. Evans, and G. J. Quinlan
Pathogenesis of the systemic inflammatory syndrome and acute lung injury: role of iron mobilization and decompartmentalization
Am J Physiol Lung Cell Mol Physiol, February 1, 2008; 294(2): L161 - L174.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
C. Quesnel, S. Marchand-Adam, A. Fabre, J. Marchal-Somme, I. Philip, S. Lasocki, V. Lecon, B. Crestani, and M. Dehoux
Regulation of hepatocyte growth factor secretion by fibroblasts in patients with acute lung injury
Am J Physiol Lung Cell Mol Physiol, February 1, 2008; 294(2): L334 - L343.
[Abstract] [Full Text] [PDF]


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Am J Health Syst PharmHome page
H. R. Bream-Rouwenhorst, E. A. Beltz, M. B. Ross, and K. G. Moores
Recent developments in the management of acute respiratory distress syndrome in adults
Am. J. Health Syst. Pharm., January 1, 2008; 65(1): 29 - 36.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
M. Iglesias, E. Martinez, J. R. Badia, and P. Macchiarini
Extrapulmonary Ventilation for Unresponsive Severe Acute Respiratory Distress Syndrome After Pulmonary Resection
Ann. Thorac. Surg., January 1, 2008; 85(1): 237 - 244.
[Abstract] [Full Text] [PDF]


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ChestHome page
L. Durairaj and G. A. Schmidt
Fluid Therapy in Resuscitated Sepsis: Less Is More
Chest, January 1, 2008; 133(1): 252 - 263.
[Abstract] [Full Text] [PDF]


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J Intensive Care MedHome page
K. M. Schuster, R. Alouidor, and E. S. Barquist
Nonventilatory Interventions in the Acute Respiratory Distress Syndrome
J Intensive Care Med, January 1, 2008; 23(1): 19 - 32.
[Abstract] [PDF]


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ChestHome page
U. Lucangelo, F. Bernabe, S. Vatua, G. Degrassi, A. Villagra, R. Fernandez, P. V. Romero, P. Saura, M. Borelli, and L. Blanch
Prognostic Value of Different Dead Space Indices in Mechanically Ventilated Patients With Acute Lung Injury and ARDS
Chest, January 1, 2008; 133(1): 62 - 71.
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Eur J Heart FailHome page
L. Gargani, F. Frassi, G. Soldati, P. Tesorio, M. Gheorghiade, and E. Picano
Ultrasound lung comets for the differential diagnosis of acute cardiogenic dyspnoea: A comparison with natriuretic peptides
Eur J Heart Fail, January 1, 2008; 10(1): 70 - 77.
[Abstract] [Full Text] [PDF]


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Eur Respir JHome page
R. A. Oeckler and R. D. Hubmayr
Ventilator-associated lung injury: a search for better therapeutic targets
Eur. Respir. J., December 1, 2007; 30(6): 1216 - 1226.
[Abstract] [Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
A. Borri, F. Leo, G. Veronesi, P. Solli, D. Galetta, R. Gasparri, F. Petrella, P. Scanagatta, D. Radice, and L. Spaggiari
Extended pneumonectomy for non-small cell lung cancer: morbidity, mortality, and long-term results.
J. Thorac. Cardiovasc. Surg., November 1, 2007; 134(5): 1266 - 1272.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
T. R. Watkins and A. B. Nathens
TRALI: A New Case Definition, a New Epidemic?
Am. J. Respir. Crit. Care Med., November 1, 2007; 176(9): 839 - 840.
[Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
O. Gajic, R. Rana, J. L. Winters, M. Yilmaz, J. L. Mendez, O. B. Rickman, M. M. O'Byrne, L. K. Evenson, M. Malinchoc, S. R. DeGoey, et al.
Transfusion-related Acute Lung Injury in the Critically Ill: Prospective Nested Case-Control Study
Am. J. Respir. Crit. Care Med., November 1, 2007; 176(9): 886 - 891.
[Abstract] [Full Text] [PDF]


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ChestHome page
D. Talmor, T. Sarge, A. Legedza, C. R. O'Donnell, R. Ritz, S. H. Loring, and A. Malhotra
Cytokine Release Following Recruitment Maneuvers
Chest, November 1, 2007; 132(5): 1434 - 1439.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
J. Villar, L. Perez-Mendez, J. Lopez, J. Belda, J. Blanco, I. Saralegui, F. Suarez-Sipmann, J. Lopez, S. Lubillo, R. M. Kacmarek, et al.
An Early PEEP/FIO2 Trial Identifies Different Degrees of Lung Injury in Patients with Acute Respiratory Distress Syndrome
Am. J. Respir. Crit. Care Med., October 15, 2007; 176(8): 795 - 804.
[Abstract] [Full Text] [PDF]




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