Respiratory failure & ventilation

Guideline-based management of acute respiratory failure and acute respiratory distress syndrome

J Intensive CarePublished Narrative review of guidelines

Recommendations

As issued by the authors

  1. Restrictive fluid strategies to be considered in acute respiratory failure (ARF), particularly acute respiratory distress syndrome (ARDS), without shock or multiple organ dysfunction

  2. Oxygenation targets: avoiding excessive hyperoxemia and hypoxemia is probably reasonable

  3. weakly recommended

    HFNC oxygenation for respiratory management of ARF in general and for initial management of ARDS

  4. weakly recommended

    Noninvasive positive pressure ventilation for certain ARF conditions and as initial management of ARDS

  5. weakly recommended

    Low tidal volume ventilation for all patients with ARF

  6. strongly recommended

    Low tidal volume ventilation for patients with ARDS

  7. weakly recommended

    Limiting plateau pressure and high-level PEEP for moderate-to-severe ARDS

  8. weakly to strongly recommended

    Prone position ventilation with prolonged hours for moderate-to-severe ARDS

  9. COVID-19: ventilatory management essentially as for ARF and ARDS; awake prone positioning may be considered

Original publication

Guideline-based management of acute respiratory failure and acute respiratory distress syndrome. J Intensive Care. Published 10 March 2023. doi:10.1186/s40560-023-00658-3

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