Objective: Low tidal volume ventilation lowers mortality in the acute respiratory distress syndrome. Previous studies reported poor low tidal volume ventilation implementation. We sought to determine the rate, quality, and predictors of low tidal volume ventilation use. Design: Retrospective cross-sectional study. Setting: One academic and three community hospitals in the Chicago region. Patients: A total of 362 adults meeting the Berlin Definition of acute respiratory distress syndrome consecutively admitted between June and December 2013. Measurements and Main Results: Seventy patients (19.3%) were treated with low tidal volume ventilation (tidal volume
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