When can one diagnose acute respiratory distress in a child?: (A) Within 7 days of known insult, (B) Respiratory failure not fully explained by cardiac failure, (C) No left ventricular dysfunction, (D) All of the above
Answer is D. Diagnostic criteria of ARDS in children: BERLIN DEFINITION CRITERIA Timing Within 1 wk of a known clinical insult or new or worsening respiratory symptoms Chest X-rays or tomography scan Bilateral opacities not fully explained by effusions, lobar/lung collapse, or nodules Origin of edema Respiratory failure not fully explained by cardiac failure or fluid overload Oxygenation Mild: PaO2/FiO2 - 200-300 mm Hg Moderate: PaO2/FiO2 - 100-200 mm Hg Severe: PaO2/FiO2 <100 mm Hg