Clinical Practice Guideline of Acute Respiratory Distress Syndrome
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 ARD...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Critical Care Medicine
2016-05-01
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| Series: | Korean Journal of Critical Care Medicine |
| Subjects: | |
| Online Access: | http://www.kjccm.org/upload/pdf/kjccm-2016-31-2-76.pdf |
| _version_ | 1818557521395187712 |
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| author | Young-Jae Cho Jae Young Moon Ein-Soon Shin Je Hyeong Kim Hoon Jung So Young Park Ho Cheol Kim Yun Su Sim Chin Kook Rhee Jaemin Lim Seok Jeong Lee Won-Yeon Lee Hyun Jeong Lee Sang Hyun Kwak Eun Kyeong Kang Kyung Soo Chung Won-Il Choi |
| author_facet | Young-Jae Cho Jae Young Moon Ein-Soon Shin Je Hyeong Kim Hoon Jung So Young Park Ho Cheol Kim Yun Su Sim Chin Kook Rhee Jaemin Lim Seok Jeong Lee Won-Yeon Lee Hyun Jeong Lee Sang Hyun Kwak Eun Kyeong Kang Kyung Soo Chung Won-Il Choi |
| author_sort | Young-Jae Cho |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-14T00:00:36Z |
| format | Article |
| id | doaj.art-92b7872fb6b842a381c0aa3238845de0 |
| institution | Directory Open Access Journal |
| issn | 2383-4870 2383-4889 |
| language | English |
| last_indexed | 2024-12-14T00:00:36Z |
| publishDate | 2016-05-01 |
| publisher | Korean Society of Critical Care Medicine |
| record_format | Article |
| series | Korean Journal of Critical Care Medicine |
| spelling | doaj.art-92b7872fb6b842a381c0aa3238845de02022-12-21T23:26:21ZengKorean Society of Critical Care MedicineKorean Journal of Critical Care Medicine2383-48702383-48892016-05-013127610010.4266/kjccm.2016.31.2.7614Clinical Practice Guideline of Acute Respiratory Distress SyndromeYoung-Jae Cho0Jae Young Moon1Ein-Soon Shin2Je Hyeong Kim3Hoon Jung4So Young Park5Ho Cheol Kim6Yun Su Sim7Chin Kook Rhee8Jaemin Lim9Seok Jeong Lee10Won-Yeon Lee11Hyun Jeong Lee12Sang Hyun Kwak13Eun Kyeong Kang14Kyung Soo Chung15Won-Il Choi16 Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungnam National University Hospital, Daejeon, Korea Research Agency for Clinical Practice Guidelines, Korean Academy of Medical Sciences Research Center, Seoul, Korea Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea University College of Medicine, Korea Department of Pulmonary and Critical Care Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea Department of Pulmonary and Critical Care Medicine, Kyung Hee University Medical Center, Seoul, Korea Department of Internal Medicine, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon, Korea Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea Division of Pulmonary and Critical Care Medicine, Department of Medicine, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, Korea Division of Pulmonary and Critical Care Medicine, Department of Medicine, Gangneung Asan Hospital, University of Ulsan Medical College of Medicine, Gangneung, Korea Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School and Hospital, Gwangju, Korea Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School and Hospital, Gwangju, Korea Department of Pediatrics, Dongguk University Ilsan Hospital, Goyang, Korea Division of Pulmonology, Department of Internal Medicine, Severance Hospital, Institute of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea Department of Internal Medicine, Keimyung University Dongsan Hospital, Daegu, KoreaThere 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.http://www.kjccm.org/upload/pdf/kjccm-2016-31-2-76.pdfpractice guidelinerespiration, artificialrespiratory distress syndrome, acuterespiratory distress syndrome, adultventilators, mechanical |
| spellingShingle | Young-Jae Cho Jae Young Moon Ein-Soon Shin Je Hyeong Kim Hoon Jung So Young Park Ho Cheol Kim Yun Su Sim Chin Kook Rhee Jaemin Lim Seok Jeong Lee Won-Yeon Lee Hyun Jeong Lee Sang Hyun Kwak Eun Kyeong Kang Kyung Soo Chung Won-Il Choi Clinical Practice Guideline of Acute Respiratory Distress Syndrome Korean Journal of Critical Care Medicine practice guideline respiration, artificial respiratory distress syndrome, acute respiratory distress syndrome, adult ventilators, mechanical |
| title | Clinical Practice Guideline of Acute Respiratory Distress Syndrome |
| title_full | Clinical Practice Guideline of Acute Respiratory Distress Syndrome |
| title_fullStr | Clinical Practice Guideline of Acute Respiratory Distress Syndrome |
| title_full_unstemmed | Clinical Practice Guideline of Acute Respiratory Distress Syndrome |
| title_short | Clinical Practice Guideline of Acute Respiratory Distress Syndrome |
| title_sort | clinical practice guideline of acute respiratory distress syndrome |
| topic | practice guideline respiration, artificial respiratory distress syndrome, acute respiratory distress syndrome, adult ventilators, mechanical |
| url | http://www.kjccm.org/upload/pdf/kjccm-2016-31-2-76.pdf |
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