1. To evaluate the dynamic changes of lung ultrasound during electrical impedance tomography (EIT) PEEP titration and across the first week of ARDS. 2. To asses respiratory effort by diaphragmatic function, esophageal pressure, and EIT (Pendelluft phenomenon), and hyperinflammatory biomarkers, to predict P-SILI. 3. To develop predictive models for weaning success based on integrated EELI and thoracic ultrasound.
Adult >18 y/o.
Patient intubated and receiving mechanical ventilation > 24 hours.
Admitted into ICU, diagnosed as moderate or severe ARDS (ICD-10-CM: J80) according to Berlin definition.
Presence of Implanted Electronic Devices (pacemakers, implantable cardioverter-defibrillators).
Pregnancy.
No consent/inability to obtain consent and appropriate legal representative not available.