The recommendation “We do not recommend or suggest using the following drugs in adult patients with ARDS (inhaled nitric oxide (NO), inhaled/intravenous β2 stimulant, granulocyte macrophage colony-stimulating factor (GM-CSF), prostaglandin E1 (PGE1), statin, surfactant, activated protein C (APC), N-acetylcysteine (NAC), or ketoconazole or lisofylline)” was unanimously approved by all panel members including the patient representative, suggesting no significant bias in the preferences of patients. Here, PROC is linked to acute respiratory distress syndrome.