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1±0.9 vs 1.7±0.9, p=0.021). PP also reduced ODCL (19±9% vs 28±8%, p=0.005) and increased the recruitable lung volume (80[71-157]ml vs 59[1-110]ml, p=0.025). "Improved lung protection" by PP was predicted by lower Vtdep, higher Vtndep and poorer Hom measured during baseline supine position (p less then 0.05). Conclusions EIT enables dynamic bedside assessment of the physiologic effects of PP and might support early recognition of ARDS patients more likely to benefit from PP.Introduction Delirium is an acute and fluctuating change in cogn