Calculate the PaO₂/FiO₂ ratio and classify ARDS severity per the Berlin Definition (2012). Derived from ARDS Definition Task Force JAMA 2012, LITFL, and Rice 2007. Not medical advice.
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Tool usage guide
Learn when to use this tool, what it supports, and how real users apply it.
Key facts
Category
Health
Input types
number, select
Output type
json
Sample coverage
4
API ready
Yes
Overview
Calculate the PaO₂/FiO₂ ratio from arterial PaO₂ and inspired oxygen fraction, then view the corresponding ARDS severity category based on the Berlin Definition (2012). The result is provided as JSON and is not medical advice.
When to use
When reviewing arterial blood gas oxygenation in critical care or pulmonology workflows.
When comparing PaO₂ values across different FiO₂ settings.
When documenting an estimated P/F ratio and ARDS severity category from available clinical inputs.
How it works
1Enter PaO₂ in mmHg from an arterial blood gas result.
2Select the FiO₂ value, from room air at 0.21 through 1.00 for 100% oxygen.
3The tool calculates P/F using PaO₂ ÷ FiO₂.
4The JSON result reports the ratio, ARDS category, mortality estimate when available, calculation method, and model reference.
Use cases
Assess oxygenation severity from arterial blood gas and FiO₂ values.
Support ICU documentation and review of oxygenation trends.
Create a consistent P/F ratio calculation for teaching, research, or clinical reference.
Examples
1. Severe ARDS calculation
Critical care clinician
Background
A patient has a PaO₂ of 60 mmHg while receiving 100% inspired oxygen.
Problem
The clinician needs the P/F ratio and its corresponding severity category.
How to use
Enter 60 for PaO₂, select FiO₂ 1.00, and leave Decimal Places at 0.
{"pao2":60,"fio2":"1.00","decimalPlaces":0}
Outcome
The tool returns P/F = 60 and classifies it as Severe ARDS (P/F ≤ 100), with a mortality estimate of approximately 45%.
2. Mild ARDS calculation
Pulmonology trainee
Background
An arterial blood gas shows PaO₂ 65 mmHg while the patient receives 30% inspired oxygen.
Problem
The trainee wants to calculate oxygenation severity without manually dividing the values.
How to use
Enter 65 for PaO₂, select FiO₂ 0.30, and use 0 decimal places.
{"pao2":65,"fio2":"0.30","decimalPlaces":0}
FAQ
What is the PaO₂/FiO₂ ratio?
It is PaO₂ divided by FiO₂ and is used to assess oxygenation impairment.
Which units should I use for PaO₂?
Enter arterial PaO₂ in mmHg.
How should FiO₂ be entered?
Use the inspired oxygen fraction as a decimal, such as 0.21 for room air, 0.30 for 30%, or 1.00 for 100% oxygen.
How are ARDS categories classified?
The categories are based on the P/F ratio: greater than 300, 200–300, 100–200, and 100 or below.
Does this tool diagnose ARDS?
No. It calculates and classifies the P/F ratio; ARDS diagnosis also requires clinical assessment and Berlin Definition criteria.