Respiratory failure & ventilation
Guideline-based management of acute respiratory failure and acute respiratory distress syndrome
Recommendations
As issued by the authors
Restrictive fluid strategies to be considered in acute respiratory failure (ARF), particularly acute respiratory distress syndrome (ARDS), without shock or multiple organ dysfunction
Oxygenation targets: avoiding excessive hyperoxemia and hypoxemia is probably reasonable
- weakly recommended
HFNC oxygenation for respiratory management of ARF in general and for initial management of ARDS
- weakly recommended
Noninvasive positive pressure ventilation for certain ARF conditions and as initial management of ARDS
- weakly recommended
Low tidal volume ventilation for all patients with ARF
- strongly recommended
Low tidal volume ventilation for patients with ARDS
- weakly recommended
Limiting plateau pressure and high-level PEEP for moderate-to-severe ARDS
- weakly to strongly recommended
Prone position ventilation with prolonged hours for moderate-to-severe ARDS
COVID-19: ventilatory management essentially as for ARF and ARDS; awake prone positioning may be considered
Original publication
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