Acute Respiratory Failure

American Thoracic Society Quick-Reference GUIDELINES Apps

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106 Commerce Street, Suite 105 Lake Mary, FL 32746 TEL: 407.878.7606 • FAX: 407.878.7611 Order additional copies at Copyright © 2018 All rights reserved ATSARF1832a Disclaimer is Guideline attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care, and providers at all levels. is Guideline should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. e ultimate judgment concerning the propriety of any course of conduct must be made by the clinician aer consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool. Abbreviations ARF, acute respiratory failure; COPD, chronic obstructive pulmonary disease; CPAP, continuous positive airway pressure; NIV, noninvasive ventilation Source Rochwerg B, Brochard L, Elliott MW, et al. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur Respir J. 2017; 50. e guidelines were a cooperative effort among the American oracic Society and the European Respiratory Society. Table 2. 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 individuals make decisions consistent with their values and preferences. Different choices are likely to be appropriate for different patients and therapy should be tailored to the individual patient's circumstances. ose circumstances may include the patient or family's values and preferences. Policy makers e recommendation can be adapted as policy in most situations including for the use as performance indicators. Policy making will require substantial debates and involvement of many stakeholders. Policies are also more likely to vary between regions. Performance indicators would have to focus on the fact that adequate deliberation about the management options has taken place.

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