Clinical Practice Guideline of Acute Respiratory Distress Syndrome / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 76-100, 2016.
Artículo
en Inglés
| WPRIM
| ID: wpr-770940
ABSTRACT
There is no well-stated practical guideline for mechanically ventilated patients with or without acute respiratory distress syndrome (ARDS). We generate strong (1) and weak (2) grade of recommendations based on high (A), moderate (B) and low (C) grade in the quality of evidence. In patients with ARDS, we recommend low tidal volume ventilation (1A) and prone position if it is not contraindicated (1B) to reduce their mortality. However, we did not support high-frequency oscillatory ventilation (1B) and inhaled nitric oxide (1A) as a standard treatment. We also suggest high positive end-expiratory pressure (2B), extracorporeal membrane oxygenation as a rescue therapy (2C), and neuromuscular blockage for 48 hours after starting mechanical ventilation (2B). The application of recruitment maneuver may reduce mortality (2B), however, the use of systemic steroids cannot reduce mortality (2B). In mechanically ventilated patients, we recommend light sedation (1B) and low tidal volume even without ARDS (1B) and suggest lung protective ventilation strategy during the operation to lower the incidence of lung complications including ARDS (2B). Early tracheostomy in mechanically ventilated patients can be performed only in limited patients (2A). In conclusion, of 12 recommendations, nine were in the management of ARDS, and three for mechanically ventilated patients.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Respiración Artificial
/
Síndrome de Dificultad Respiratoria
/
Esteroides
/
Ventilación
/
Traqueostomía
/
Oxigenación por Membrana Extracorpórea
/
Ventiladores Mecánicos
/
Volumen de Ventilación Pulmonar
/
Incidencia
/
Mortalidad
Tipo de estudio:
Guía de Práctica Clínica
/
Estudio de incidencia
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
The Korean Journal of Critical Care Medicine
Año:
2016
Tipo del documento:
Artículo
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