ARDS clinical practice guideline 2021.
| Autor: | Tasaka S; Department of Respiratory Medicine, Hirosaki University Graduate School of Medicine, Aomori, Japan. Electronic address: tasaka@hirosaki-u.ac.jp., Ohshimo S; Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan., Takeuchi M; Department of Intensive Care Medicine, Osaka Women's and Children's Hospital, Osaka, Japan., Yasuda H; Department of Emergency and Critical Care Medicine, Jichi Medical University, Saitama Medical Center, Saitama, Japan., Ichikado K; Division of Respiratory Medicine, Saiseikai Kumamoto Hospital, Kumamoto, Japan., Tsushima K; International University of Health and Welfare, Tokyo, Japan., Egi M; Department of Anesthesiology, Kobe University Hospital, Hyogo, Japan., Hashimoto S; Department of Anesthesiology and Intensive Care Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan., Shime N; Department of Emergency and Critical Care Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan., Saito O; Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan., Matsumoto S; Division of Critical Care Medicine, National Center for Child Health and Development, Tokyo, Japan., Nango E; Department of Family Medicine, Seibo International Catholic Hospital, Tokyo, Japan., Okada Y; Department of Primary Care and Emergency Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan., Hayashi K; Department of Pediatrics, The University of Tokyo Hospital, Tokyo, Japan., Sakuraya M; Department of Emergency and Intensive Care Medicine, JA Hiroshima General Hospital, Hiroshima, Japan., Nakajima M; Emergency and Critical Care Center, Tokyo Metropolitan Hiroo Hospital, Tokyo, Japan., Okamori S; Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan., Miura S; Paediatric Intensive Care Unit, The Royal Children's Hospital Melbourne, Melbourne, Australia., Fukuda T; Department of Emergency and Critical Care Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan., Ishihara T; Department of Emergency and Critical Care Medicine, Juntendo University, Urayasu Hospital, Chiba, Japan., Kamo T; Department of Critical Care Medicine, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan., Yatabe T; Department of Anesthesiology, Nishichita General Hospital, Aichi, Japan., Norisue Y; Tokyo Bay Urayasu Ichikawa Medical Center, Chiba, Japan., Aoki Y; Department of Anesthesiology and Intensive Care Medicine, Hamamatsu University School of Medicine, Shizuoka, Japan., Iizuka Y; Department of Anesthesiology and Critical Care Medicine, Jichi Medical University Saitama Medical Center, Saitama, Japan., Kondo Y; Department of Emergency and Critical Care Medicine, Juntendo University, Urayasu Hospital, Chiba, Japan., Narita C; Department of Emergency Medicine, Shizuoka General Hospital, Shizuoka, Japan., Kawakami D; Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital, Hyogo, Japan., Okano H; Department of Critical Care and Emergency Medicine, National Hospital Organization Yokohama Medical Center, Kanagawa, Japan., Takeshita J; Department of Anesthesiology, Osaka Women's and Children's Hospital, Osaka, Japan., Anan K; Division of Respiratory Medicine, Saiseikai Kumamoto Hospital, Kumamoto, Japan., Okazaki SR; Department of Intensive Care Medicine, Kameda Medical Center, Chiba, Japan., Taito S; Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan., Hayashi T; Pediatric Emergency and Critical Care Center, Saitama Children's Medical Center, Saitama, Japan., Mayumi T; Department of Cardiovascular Medicine, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan., Terayama T; Department of Psychiatry, School of Medicine, National Defense Medical College, Saitama, Japan., Kubota Y; Department of Infectious Diseases, Kameda Medical Center, Chiba, Japan., Abe Y; Division of Emergency and Disaster Medicine, Tohoku Medical and Pharmaceutical University, Miyagi, Japan., Iwasaki Y; Department of Anesthesiology and Perioperative Medicine, Tohoku University Graduate School of Medicine, Miyagi, Japan., Kishihara Y; Department of Emergency Medicine, Japanese Red Cross Musashino Hospital, Tokyo, Japan., Kataoka J; Department of Critical Care Medicine, Nerima Hikarigaoka Hospital, Tokyo, Japan., Nishimura T; Department of Traumatology and Critical Care Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan., Yonekura H; Department of Anesthesiology and Pain Medicine, Fujita Health University Bantane Hospital, Aichi, Japan., Ando K; Division of Respiratory Medicine and Allergology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan., Yoshida T; Intensive Care Unit, Department of Anesthesiology, Jikei University School of Medicine, Tokyo, Japan., Masuyama T; Department of Emergency and Critical Care Medicine, Jichi Medical University, Saitama Medical Center, Saitama, Japan., Sanui M; Department of Anesthesiology and Critical Care Medicine, Jichi Medical University Saitama Medical Center, Saitama, Japan. |
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| Jazyk: | angličtina |
| Zdroj: | Respiratory investigation [Respir Investig] 2022 Jul; Vol. 60 (4), pp. 446-495. Date of Electronic Publication: 2022 Jun 24. |
| DOI: | 10.1016/j.resinv.2022.05.003 |
| Abstrakt: | Background: The joint committee of the Japanese Society of Intensive Care Medicine/Japanese Respiratory Society/Japanese Society of Respiratory Care Medicine on ARDS Clinical Practice Guideline has created and released the ARDS Clinical Practice Guideline 2021. Methods: The 2016 edition of the Clinical Practice Guideline covered clinical questions (CQs) that targeted only adults, but the present guideline includes 15 CQs for children in addition to 46 CQs for adults. As with the previous edition, we used a systematic review method with the Grading of Recommendations Assessment Development and Evaluation (GRADE) system as well as a degree of recommendation determination method. We also conducted systematic reviews that used meta-analyses of diagnostic accuracy and network meta-analyses as a new method. Results: Recommendations for adult patients with ARDS are described: we suggest against using serum C-reactive protein and procalcitonin levels to identify bacterial pneumonia as the underlying disease (GRADE 2D); we recommend limiting tidal volume to 4-8 mL/kg for mechanical ventilation (GRADE 1D); we recommend against managements targeting an excessively low SpO Conclusions: This article is a translated summary of the full version of the ARDS Clinical Practice Guideline 2021 published in Japanese (URL: https://www.jrs.or.jp/publication/jrs_guidelines/). The original text, which was written for Japanese healthcare professionals, may include different perspectives from healthcare professionals of other countries. Competing Interests: Conflict of Interest All committee members and panelists submitted disclosure forms of financial and academic conflict of interest (COI) prior to being requested to participate in individual activities. If panelists have any COI concerning each CQ, other panelists were assigned to replace the vacancy. All COI were collected according to the guideline written by Japanese Society of Intensive Care Medicine. Detailed information of COI and the roles in creating this clinical guideline are summarized in Additional file 7. (Copyright © 2022 [The Author/The Authors]. Published by Elsevier B.V. All rights reserved.) |
| Databáze: | MEDLINE |
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