TY - JOUR
T1 - ESICM guidelines on acute respiratory distress syndrome
T2 - definition, phenotyping and respiratory support strategies
AU - the European Society of Intensive Care Medicine Taskforce on ARDS
AU - Grasselli, Giacomo
AU - Calfee, Carolyn S.
AU - Camporota, Luigi
AU - Poole, Daniele
AU - Amato, Marcelo B.P.
AU - Antonelli, Massimo
AU - Arabi, Yaseen M.
AU - Baroncelli, Francesca
AU - Beitler, Jeremy R.
AU - Bellani, Giacomo
AU - Bellingan, Geoff
AU - Blackwood, Bronagh
AU - Bos, Lieuwe D.J.
AU - Brochard, Laurent
AU - Brodie, Daniel
AU - Burns, Karen E.A.
AU - Combes, Alain
AU - D’Arrigo, Sonia
AU - De Backer, Daniel
AU - Demoule, Alexandre
AU - Einav, Sharon
AU - Fan, Eddy
AU - Ferguson, Niall D.
AU - Frat, Jean Pierre
AU - Gattinoni, Luciano
AU - Guérin, Claude
AU - Herridge, Margaret S.
AU - Hodgson, Carol
AU - Hough, Catherine L.
AU - Jaber, Samir
AU - Juffermans, Nicole P.
AU - Karagiannidis, Christian
AU - Kesecioglu, Jozef
AU - Kwizera, Arthur
AU - Laffey, John G.
AU - Mancebo, Jordi
AU - Matthay, Michael A.
AU - McAuley, Daniel F.
AU - Mercat, Alain
AU - Meyer, Nuala J.
AU - Moss, Marc
AU - Munshi, Laveena
AU - Myatra, Sheila N.
AU - Ng Gong, Michelle
AU - Papazian, Laurent
AU - Patel, Bhakti K.
AU - Pellegrini, Mariangela
AU - Perner, Anders
AU - Pesenti, Antonio
AU - Piquilloud, Lise
AU - Qiu, Haibo
AU - Ranieri, Marco V.
AU - Riviello, Elisabeth
AU - Slutsky, Arthur S.
AU - Stapleton, Renee D.
AU - Summers, Charlotte
AU - Thompson, Taylor B.
AU - Valente Barbas, Carmen S.
AU - Villar, Jesús
AU - Ware, Lorraine B.
AU - Weiss, Björn
AU - Zampieri, Fernando G.
AU - Azoulay, Elie
AU - Cecconi, Maurizio
N1 - Publisher Copyright:
© 2023, The Author(s).
PY - 2023/7
Y1 - 2023/7
N2 - The aim of these guidelines is to update the 2017 clinical practice guideline (CPG) of the European Society of Intensive Care Medicine (ESICM). The scope of this CPG is limited to adult patients and to non-pharmacological respiratory support strategies across different aspects of acute respiratory distress syndrome (ARDS), including ARDS due to coronavirus disease 2019 (COVID-19). These guidelines were formulated by an international panel of clinical experts, one methodologist and patients’ representatives on behalf of the ESICM. The review was conducted in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement recommendations. We followed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to assess the certainty of evidence and grade recommendations and the quality of reporting of each study based on the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) network guidelines. The CPG addressed 21 questions and formulates 21 recommendations on the following domains: (1) definition; (2) phenotyping, and respiratory support strategies including (3) high-flow nasal cannula oxygen (HFNO); (4) non-invasive ventilation (NIV); (5) tidal volume setting; (6) positive end-expiratory pressure (PEEP) and recruitment maneuvers (RM); (7) prone positioning; (8) neuromuscular blockade, and (9) extracorporeal life support (ECLS). In addition, the CPG includes expert opinion on clinical practice and identifies the areas of future research.
AB - The aim of these guidelines is to update the 2017 clinical practice guideline (CPG) of the European Society of Intensive Care Medicine (ESICM). The scope of this CPG is limited to adult patients and to non-pharmacological respiratory support strategies across different aspects of acute respiratory distress syndrome (ARDS), including ARDS due to coronavirus disease 2019 (COVID-19). These guidelines were formulated by an international panel of clinical experts, one methodologist and patients’ representatives on behalf of the ESICM. The review was conducted in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement recommendations. We followed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to assess the certainty of evidence and grade recommendations and the quality of reporting of each study based on the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) network guidelines. The CPG addressed 21 questions and formulates 21 recommendations on the following domains: (1) definition; (2) phenotyping, and respiratory support strategies including (3) high-flow nasal cannula oxygen (HFNO); (4) non-invasive ventilation (NIV); (5) tidal volume setting; (6) positive end-expiratory pressure (PEEP) and recruitment maneuvers (RM); (7) prone positioning; (8) neuromuscular blockade, and (9) extracorporeal life support (ECLS). In addition, the CPG includes expert opinion on clinical practice and identifies the areas of future research.
KW - Acute hypoxemic respiratory failure
KW - Acute respiratory distress syndrome
KW - Extracorporeal membrane oxygenation
KW - Mechanical ventilation
KW - Non-invasive ventilation
KW - Practice guidelines
KW - Prognosis
KW - Prone position
UR - https://www.scopus.com/pages/publications/85153320779
U2 - 10.1007/s00134-023-07050-7
DO - 10.1007/s00134-023-07050-7
M3 - Article
C2 - 37326646
AN - SCOPUS:85153320779
SN - 0342-4642
VL - 49
SP - 727
EP - 759
JO - Intensive Care Medicine
JF - Intensive Care Medicine
IS - 7
ER -