Mechanical ventilation in adults with acute respiratory distress syndrome: An official clinical guideline of American Thoracic Society/European Society of Intensive Care medicine/Society of Critical care medicine

E. Fan, L. Del Sorbo, E. C. Goligher, C. L. Hodgson, L. Munshi, A. J. Walkey, N. K.J. Adhikari, M. B.P. Amato, R. Branson, R. G. Brower, N. D. Ferguson, Ognjen Gajic, L. Gattinoni, D. Hess, J. Mancebo, M. O. Meade, D. F. McAuley, A. Pesenti, V. M. Ranieri, G. D. RubenfeldE. Rubin, M. Seckel, A. S. Slutsky, D. Talmor, B. T. Thompson, H. Wunsch, E. Uleryk, J. Brozek, L. J. Brochard

Research output: Contribution to journalArticle

Abstract

The aim of this guideline is to provide clinical recommendation on the use of mechanical ventilation in adult patients with acute respiratory distress syndrome (ARDS). Methods. This guideline is based on systematic review and metaanalysis of available literature on the use of mechanical ventilation in adult patients with ARDS. Results. All patients with ARDS should be mechanically ventilated with the use of lower tidal volumes (4–8 ml/kg predicted bodyweight) and lower inspiratory pressures (plateau pressure, 30 cm H2O). In severe ARDS, the prone positioning for more than 12 h/d is strongly recommended. In patients with moderate to severe ARDS, routine use of high-frequency oscillatory ventilation is not recommended; conditional recommendation has been developed for the use of higher positive end-expiratory pressure and recruitment maneuvers. Cu?? – ently, there is not enough evidence for the use of extracorporeal membrane oxygenation in patients with severe ARDS. Conclusions. Practical recommendations on selected methods to co?? – ect ventilation disturbances in adult patients with ARDS have been developed. Clinicians involved in the management of patients with ARDS should use personalized approach to the treatment of these patients. Key words: acute respiratory distress syndrome, adults, mechanical ventilation, guideline, end-expiratory pressure, tidal volume, inspiratory pressure, extracorporeal membrane oxygenation.

Original languageEnglish (US)
Pages (from-to)399-410
Number of pages12
JournalPulmonologiya
Volume28
Issue number4
DOIs
StatePublished - Jan 1 2018

Fingerprint

Adult Respiratory Distress Syndrome
Critical Care
Artificial Respiration
Medicine
Guidelines
Severe Acute Respiratory Syndrome
Pressure
Extracorporeal Membrane Oxygenation
Tidal Volume
High-Frequency Ventilation
Positive-Pressure Respiration
Ventilation

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Mechanical ventilation in adults with acute respiratory distress syndrome : An official clinical guideline of American Thoracic Society/European Society of Intensive Care medicine/Society of Critical care medicine. / Fan, E.; Del Sorbo, L.; Goligher, E. C.; Hodgson, C. L.; Munshi, L.; Walkey, A. J.; Adhikari, N. K.J.; Amato, M. B.P.; Branson, R.; Brower, R. G.; Ferguson, N. D.; Gajic, Ognjen; Gattinoni, L.; Hess, D.; Mancebo, J.; Meade, M. O.; McAuley, D. F.; Pesenti, A.; Ranieri, V. M.; Rubenfeld, G. D.; Rubin, E.; Seckel, M.; Slutsky, A. S.; Talmor, D.; Thompson, B. T.; Wunsch, H.; Uleryk, E.; Brozek, J.; Brochard, L. J.

In: Pulmonologiya, Vol. 28, No. 4, 01.01.2018, p. 399-410.

Research output: Contribution to journalArticle

Fan, E, Del Sorbo, L, Goligher, EC, Hodgson, CL, Munshi, L, Walkey, AJ, Adhikari, NKJ, Amato, MBP, Branson, R, Brower, RG, Ferguson, ND, Gajic, O, Gattinoni, L, Hess, D, Mancebo, J, Meade, MO, McAuley, DF, Pesenti, A, Ranieri, VM, Rubenfeld, GD, Rubin, E, Seckel, M, Slutsky, AS, Talmor, D, Thompson, BT, Wunsch, H, Uleryk, E, Brozek, J & Brochard, LJ 2018, 'Mechanical ventilation in adults with acute respiratory distress syndrome: An official clinical guideline of American Thoracic Society/European Society of Intensive Care medicine/Society of Critical care medicine', Pulmonologiya, vol. 28, no. 4, pp. 399-410. https://doi.org/10.18093/0869-0189-2018-28-4-399-410
Fan, E. ; Del Sorbo, L. ; Goligher, E. C. ; Hodgson, C. L. ; Munshi, L. ; Walkey, A. J. ; Adhikari, N. K.J. ; Amato, M. B.P. ; Branson, R. ; Brower, R. G. ; Ferguson, N. D. ; Gajic, Ognjen ; Gattinoni, L. ; Hess, D. ; Mancebo, J. ; Meade, M. O. ; McAuley, D. F. ; Pesenti, A. ; Ranieri, V. M. ; Rubenfeld, G. D. ; Rubin, E. ; Seckel, M. ; Slutsky, A. S. ; Talmor, D. ; Thompson, B. T. ; Wunsch, H. ; Uleryk, E. ; Brozek, J. ; Brochard, L. J. / Mechanical ventilation in adults with acute respiratory distress syndrome : An official clinical guideline of American Thoracic Society/European Society of Intensive Care medicine/Society of Critical care medicine. In: Pulmonologiya. 2018 ; Vol. 28, No. 4. pp. 399-410.
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abstract = "The aim of this guideline is to provide clinical recommendation on the use of mechanical ventilation in adult patients with acute respiratory distress syndrome (ARDS). Methods. This guideline is based on systematic review and metaanalysis of available literature on the use of mechanical ventilation in adult patients with ARDS. Results. All patients with ARDS should be mechanically ventilated with the use of lower tidal volumes (4–8 ml/kg predicted bodyweight) and lower inspiratory pressures (plateau pressure, 30 cm H2O). In severe ARDS, the prone positioning for more than 12 h/d is strongly recommended. In patients with moderate to severe ARDS, routine use of high-frequency oscillatory ventilation is not recommended; conditional recommendation has been developed for the use of higher positive end-expiratory pressure and recruitment maneuvers. Cu?? – ently, there is not enough evidence for the use of extracorporeal membrane oxygenation in patients with severe ARDS. Conclusions. Practical recommendations on selected methods to co?? – ect ventilation disturbances in adult patients with ARDS have been developed. Clinicians involved in the management of patients with ARDS should use personalized approach to the treatment of these patients. Key words: acute respiratory distress syndrome, adults, mechanical ventilation, guideline, end-expiratory pressure, tidal volume, inspiratory pressure, extracorporeal membrane oxygenation.",
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T2 - An official clinical guideline of American Thoracic Society/European Society of Intensive Care medicine/Society of Critical care medicine

AU - Fan, E.

AU - Del Sorbo, L.

AU - Goligher, E. C.

AU - Hodgson, C. L.

AU - Munshi, L.

AU - Walkey, A. J.

AU - Adhikari, N. K.J.

AU - Amato, M. B.P.

AU - Branson, R.

AU - Brower, R. G.

AU - Ferguson, N. D.

AU - Gajic, Ognjen

AU - Gattinoni, L.

AU - Hess, D.

AU - Mancebo, J.

AU - Meade, M. O.

AU - McAuley, D. F.

AU - Pesenti, A.

AU - Ranieri, V. M.

AU - Rubenfeld, G. D.

AU - Rubin, E.

AU - Seckel, M.

AU - Slutsky, A. S.

AU - Talmor, D.

AU - Thompson, B. T.

AU - Wunsch, H.

AU - Uleryk, E.

AU - Brozek, J.

AU - Brochard, L. J.

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