Mechanical Ventilation in ARDS

American Thoracic Society Quick-Reference GUIDELINES Apps

Issue link:

Contents of this Issue


Page 1 of 3

Key Points ➤ These recommendations apply only to patients with acute respiratory distress syndrome (ARDS) and do not address questions related to pharmacologic therapies to facilitate mechanical ventilation (e.g., neuromuscular blockade), adjunctive measures (e.g., inhaled vasodilators), and other ventilatory modes (e.g., airway pressure release ventilation). ➤ Recommendations have not been made for combined or sequential treatments with interventions included in this guideline since their potential benefits or synergies have not been explicitly studied. Interpretation of strong and conditional (weak) recommendations Strong recommendation Conditional (weak) recommendation Patients Most individuals in this situation would want the recommended course of action, and only a small proportion would not. e majority of individuals in this situation would want the suggested course of action, but many would not. Clinicians Most individuals should receive the intervention. Adherence to this recommendation according to the guideline could be used as a quality criterion or performance indicator. Formal decision aids are not likely to be needed to help patients or their substitute decision-makers make decisions consistent with their values and preferences. Recognize that different choices will be appropriate for individual patients and that you must help each patient arrive at a management decision consistent with his or her values and preferences. Decision aids may be useful in helping patients or their substitute decision-makers to make decisions consistent with patient's values and preferences. Policy makers e recommendation can be adopted as policy in most situations. Policymaking will require substantial debate and involvement of various stakeholders.

Articles in this issue

view archives of ATS GUIDELINES Bundle - Mechanical Ventilation in ARDS