Respiratory failure & ventilation
An Update on Management of Adult Patients with Acute Respiratory Distress Syndrome: An Official American Thoracic Society Clinical Practice Guideline
Methodological detailsGRADE framework, multidisciplinary panel
- GRADE framework
- Multidisciplinary panel
Recommendations
As issued by the authors
- conditional recommendation, moderate certainty of evidence
We suggest corticosteroids for patients with acute respiratory distress syndrome (ARDS)
- conditional recommendation, low certainty of evidence
We suggest venovenous ECMO in selected patients with severe ARDS
- conditional recommendation, low certainty of evidence
We suggest neuromuscular blockers in patients with early severe ARDS
- conditional recommendation, low to moderate certainty
We suggest higher positive end-expiratory pressure (PEEP) without lung recruitment maneuvers vs lower PEEP in patients with moderate to severe ARDS
- strong recommendation, moderate certainty
We recommend against prolonged lung recruitment maneuvers in patients with moderate to severe ARDS
Original publication
An Update on Management of Adult Patients with Acute Respiratory Distress Syndrome: An Official American Thoracic Society Clinical Practice Guideline. Am J Respir Crit Care Med. Published 1 January 2024. doi:10.
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