The Berlin definition has existed for a few years, and the graciousness of this new classification is that it not only simply classified acute respiratory distress syndrome (ARDS) according to severity but it stratified the therapeutic modalities accordingly. (1) The pandemic caused by coronavirus disease 2019 (COVID-19) and the subsequent severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) placed a major burden for the health care systems globally and regionally. (2) Ulterior critical care teams suffer more, predicting the outcome in these complex situations and aligning the disposition and management option seems to be perfect goals.