In summary, whenever in clinical practice we are faced with a new ARDS patients we should try:

1) to understand which type of ARDS is present

2) to measure the IAP, lung and chest wall elastance

3) to maximize the lung recruitment with adequate airway pressure and also with the prone position, and

4) to apply adequate levels of PEEP to maintain the lung open.

Acknowledgements. The authors would like to thank Dr. M. Quintel, Dr. G. LiBassi and Dr. E. Storelli for their precious collaboration and suggestions.


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