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🫁 P/F Ratio (PaO₂/FiO₂, Berlin ARDS)

Calculate the PaO₂/FiO₂ (P/F) ratio for ARDS severity under the Berlin definition.

Clinical takeaway

The Berlin definition requires PEEP/CPAP ≥ 5 cmH₂O.

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When to use

Grade hypoxaemia and classify ARDS severity.

How it works

P/F = PaO₂ ÷ FiO₂ (fraction). ≤ 300 mild, ≤ 200 moderate, ≤ 100 severe ARDS, measured on PEEP ≥ 5 cmH₂O.

Key points

  • The Berlin definition requires PEEP/CPAP ≥ 5 cmH₂O.
  • At altitude, multiply by (barometric pressure / 760).
  • Lower ratios indicate worse oxygenation.

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

PaO₂80 mmHg
FiO₂0.5 fraction

P/F ratio160mmHg

  • Berlin categoryModerate ARDS
  • RequiresPEEP/CPAP ≥ 5 cmH₂O for the ARDS definition.

Frequently asked questions

What is P/F Ratio (PaO₂/FiO₂, Berlin ARDS)?
Calculate the PaO₂/FiO₂ (P/F) ratio for ARDS severity under the Berlin definition.
How is P/F Ratio (PaO₂/FiO₂, Berlin ARDS) calculated? What is the core formula?
P/F = PaO₂ ÷ FiO₂ (fraction). ≤ 300 mild, ≤ 200 moderate, ≤ 100 severe ARDS, measured on PEEP ≥ 5 cmH₂O.
When is P/F Ratio (PaO₂/FiO₂, Berlin ARDS) used?
Grade hypoxaemia and classify ARDS severity.
What are the key clinical points for P/F Ratio (PaO₂/FiO₂, Berlin ARDS)?
The Berlin definition requires PEEP/CPAP ≥ 5 cmH₂O. At altitude, multiply by (barometric pressure / 760). Lower ratios indicate worse oxygenation.
What are the limits and cautions when using P/F Ratio (PaO₂/FiO₂, Berlin ARDS)?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
How is P/F Ratio (PaO₂/FiO₂, Berlin ARDS) calculated in practice? Can you show a worked example?
Inputs: PaO₂ 80 mmHg, FiO₂ 0.5 fraction → Result: P/F ratio 160 mmHg(Berlin category: Moderate ARDS, Requires: PEEP/CPAP ≥ 5 cmH₂O for the ARDS definition.)

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