this Delphi, named 'DefIning and subphenOtyping ARDS – insightS from an international delphi expert panel' (DIOS) identifies definitions of ARDS, the value of the elements used in previous and current definitions of ARDS, and the usefulness of subphenotyping; DIOS may identify specific research questions

the main objective is to generate expert consensus statements on the definition of ARDS

DIOS is registered at clinicaltrials (NCT06159465); the study protocol was published in British Medical Journal Open (2024; 14:e082986); the primary analysis will be published in Lancet Respiratory Medicine (2025; in press)

connect with Marcus Schultz or Prashant Nasa for secondary analyses of this Delphi

this Delphi, named 'consensus statements on Airway ClearanCe interventions in intubated critically Ill patients – protocol for a Delphi study' (ACCorDingly) identifies current strategies regarding airway care

ACCorDingly is registered at clinicaltrials (NCT06649734); after submitting the study protocol, the Delphi process commenced

connect with Frederique Paulus or Prashant Nasa  for information on this Delphi

this Delphi, named 'Assessing Expert recommendationS for optimal ventiLAtor settings' (AEScuLApius) will identify current insights in how ventilators should be set and how additional should be practiced in various groups of invasively ventilated patients

AEScuLApius will be registered at clinicaltrials soon; the study protocol will also be published soon

connect with Marcus Schultz or Prashant Nasa  for information on this Delphi

using the Delphi methodology the PRORVNet developed expert position statements in areas where the evidence is limited or ambiguous

an international panel of 52 experts in the field of ECMO and cardiorespiratory intensive care medicine scored a total of 35 statements

the Delphi was registered at clinicaltrials (NCT05948332); the primary analysis has been published in Intensive Care Medicine (2024; 50:1411); the accompanying systematic review is currently under review

an accompanying scoping review was published in ASAIO Journal (2025; 71:in press)

connect with Vasileios Zochios or Prashant Nasa  for information on this Delphi

this Delphi, named 'Postoperative pulmonary complications - Evaluation for Consensus on StandardIzed Outcomes' (PrECiSIOn) will identify current insights into how postoperative pulmonary complications should be defined and graded

it will involve anesthesiologists/intensivists, surgeons, and respiratory therapists from both high-income and low– and middle–income countries, as well as the involvement of patients and health economists

the Delphi will be registered at clinicaltrials soon; the study protocol is under development

connect with Sabrine Hemmes or Prashant Nasa  for information on this Delphi

using a mixed Delphi methodology, expert consensus statements are being developed regarding which patient–ventilator asynchronies can be detected using ventilator waveforms alone, and their associated risks for worse outcomes

a hierarchical tree will be developed based on the severity of these associations with outcomes

an international panel scored these statements over several rounds; the Delphi process is nearly completed

connect with Laura Buiteman or Prashant Nasa  for information on this Delphi

this Delphi study will gather expert perspectives on the role and management of alarms associated with mechanical ventilation

the panel will comprise ICU nurses, respiratory therapists, physical therapists, ventilation specialists, and intensivists

the objective is to establish consensus on the clinical significance of specific alarms, best practices for addressing them on ventilators, and identifying alarms that are particularly time–consuming or challenging to manage

the study will be registered on ClinicalTrials.gov (pending), and the protocol is currently under development

connect with Geertje van Limpt or Laura Buiteman  for information on this Delphi

'CUrrent PractIces of Managing ARDS in EurOpean ICUs – a cross–sectional survey (CUPIDO) aims to assess the current management strategies for ARDS

across Europe, with a particular emphasis on the use of prone positioning therapy

by identifying variations in practice and potential barriers to implementation, this research seeks

to inform future Delphi projects and guidelines, and promote the optimal care of ARDS patients

more information will be available soon

the 'Workload Assessment during mechanical Ventilation in European ICUs' (WAVEs) survey aims at identifying the tasks related to mechanical ventilation that contribute most to the workload of ICU nurses, doctors, and respiratory therapists

this information will be pivotal in developing strategies to optimize workflows, reduce staff burden, and ultimately enhance patient care

connect with Laura Buiteman or Tobias van Leijsen  for information on this survey