Review Article

The Role of Omega-3 Polyunsaturated Fatty Acids in the Treatment of Patients with Acute Respiratory Distress Syndrome: A Clinical Review

Table 1

Berlin definition of ARDS.

TimingWithin one week of a known clinical insult or new or worsening respiratory symptoms.

Chest imagingBilateral opacities not fully explained by effusions, lobar/lung collapse, or nodules.

Origin of oedemaRespiratory failure not fully explained by cardiac failure or fluid overload. Need for objective assessment (e.g., echocardiography) to exclude hydrostatic oedema if no risk factors are present.

Oxygenation
 Mild200 mmHg < PaO2/FIO2 ≤ 300 mmHg with PEEP or CPAP ≥ 5 cmH2O
 Moderate100 mmHg < PaO2/FIO2 ≤ 200 mmHg with PEEP ≥ 5 cmH2O
 SeverePaO2/FIO2 ≤ 100 mmHg with PEEP ≥ 5 cmH2O

PaO2: partial pressure of arterial oxygen; FIO2: fraction of inspired oxygen; PEEP: positive end expiratory pressure; CPAP: continuous positive airway pressure.