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dc.contributor.authorThe Korean Society of Critical Care Medicine and the Korean Academy of Tuberculosis and Respiratory Diseases Consensus Group
dc.date.accessioned2020-03-18T15:20:35Z
dc.date.available2020-03-18T15:20:35Z
dc.date.issued2016-08-16
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5077725/pdf/trd-79-214.pdfen_US
dc.identifier.urihttps://hdl.handle.net/20.500.12663/435
dc.description.abstractThere 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 endexpiratory 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 patientsen_US
dc.titleClinical Practice Guideline of Acute Respiratory Distress Syndromeen_US
eihealth.countryKoreaen_US
eihealth.categoryClinical characterization and managementen_US
eihealth.typeResearch protocol informationen_US
dc.relation.ispartofjournalTuberculosis and Respiratory Disease


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