ESICM guidelines on acute respiratory distress syndrome: definition, phenotyping and respiratory support strategies

被引：468

作者：

Grasselli, Giacomo ^{[1
,2
]}

Calfee, Carolyn S. ^{[3
]}

Camporota, Luigi ^{[4
,5
]}

Poole, Daniele ^{[6
]}

Amato, Marcelo B. P. ^{[7
]}

Antonelli, Massimo ^{[8
,9
]}

Arabi, Yaseen M. ^{[10
,11
,12
]}

Baroncelli, Francesca ^{[13
]}

Beitler, Jeremy R. ^{[14
,15
]}

Bellani, Giacomo ^{[16
,17
]}

Bellingan, Geoff ^{[18
]}

Blackwood, Bronagh ^{[19
]}

Bos, Lieuwe D. J. ^{[20
]}

Brochard, Laurent ^{[21
,22
]}

Brodie, Daniel ^{[23
]}

Burns, Karen E. A. ^{[22
,24
,25
,26
]}

Combes, Alain ^{[27
,28
]}

D'Arrigo, Sonia ^{[8
]}

De Backer, Daniel ^{[29
]}

Demoule, Alexandre ^{[30
,31
]}

Einav, Sharon ^{[32
,33
]}

Fan, Eddy ^{[22
]}

Ferguson, Niall D. ^{[34
,35
,36
]}

Frat, Jean-Pierre ^{[37
,38
]}

Gattinoni, Luciano ^{[39
]}

Guerin, Claude ^{[40
,41
]}

Herridge, Margaret S. ^{[42
]}

Hodgson, Carol ^{[43
,44
]}

Hough, Catherine L. ^{[45
]}

Jaber, Samir ^{[46
]}

Juffermans, Nicole P. ^{[47
]}

Karagiannidis, Christian ^{[48
]}

Kesecioglu, Jozef ^{[49
]}

Kwizera, Arthur ^{[50
]}

Laffey, John G. ^{[51
,52
]}

Mancebo, Jordi ^{[53
]}

Matthay, Michael A. ^{[54
,55
]}

McAuley, Daniel F. ^{[19
,56
]}

Mercat, Alain ^{[57
]}

Meyer, Nuala J. ^{[58
]}

Moss, Marc ^{[59
]}

Munshi, Laveena ^{[60
]}

Myatra, Sheila N. ^{[61
]}

Ng Gong, Michelle ^{[62
,63
]}

Papazian, Laurent ^{[64
,65
]}

Patel, Bhakti K. ^{[66
]}

Pellegrini, Mariangela ^{[67
]}

Perner, Anders ^{[68
]}

Pesenti, Antonio ^{[1
,2
]}

Piquilloud, Lise ^{[69
,70
]}

机构：

[1] Fdn IRCCS Ca Granda Osped Maggiore Policlin, Dept Anesthesia Crit Care & Emergency, Milan, Italy

[2] Univ Milan, Dept Pathophysiol & Transplantat, Milan, Italy

[3] Univ Calif San Francisco, Dept Med, Div Pulm Crit Care Allergy & Sleep Med, San Francisco, CA USA

[4] Guys & St Thomas NHS Fdn Trust, Dept Adult Crit Care, London, England

[5] Kings Coll London, Ctr Human & Appl Physiol Sci, London, England

[6] San Martino Hosp, Operat Unit Anesthesia & Intens Care, Belluno, Italy

[7] Univ Sao Paulo, Hosp Clin, Sao Paulo, Brazil

[8] Fdn Policlin Univ A Gemelli IRCCS, Dept Anesthesiol Intens Care & Emergency Med, Rome, Italy

[9] Univ Cattolica Sacro Cuore, Rome, Italy

[10] Minist Natl Guard Hlth Affairs, Intens Care Dept, Riyadh, Saudi Arabia

[11] King Saud bin Abdulaziz Univ Hlth Sci, Riyadh, Saudi Arabia

[12] King Abdullah Int Med Res Ctr, Riyadh, Saudi Arabia

[13] San Giovanni Bosco Hosp, Dept Anesthesia & Intens Care, Turin, Italy

[14] Columbia Univ, Ctr Acute Resp Failure, New York, NY USA

[15] Columbia Univ, Div Pulm Allergy & Crit Care Med, New York, NY USA

[16] Univ Trento, Ctr Med Sci CISMed, Trento, Italy

[17] APSS Trento, Santa Chiara Hosp, Dept Anesthesia & Intens Care, Trento, Italy

[18] NIHR Univ Coll London Hosp, Univ Coll London, Biomed Res Ctr, Intens Care Med, London, England

[19] Queens Univ Belfast, Wellcome Wolfson Inst Expt Med, Belfast, North Ireland

[20] Univ Amsterdam, Intens Care, Amsterdam UMC, Locat AMC, Amsterdam, Netherlands

[21] Unity Hlth Toronto, Li Ka Shing Knowledge Inst, Keenan Res Ctr, Toronto, ON, Canada

[22] Univ Toronto, Interdept Div Crit Care Med, Toronto, ON, Canada

[23] Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD USA

[24] St Michaels Hosp, Unity Hlth Toronto, Dept Med, Div Crit Care, Toronto, ON, Canada

[25] St Michaels Hosp, Li Ka Shing Knowledge Inst, Toronto, ON, Canada

[26] McMaster Univ, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada

[27] Sorbonne Univ, INSERM, Inst Cardiometab & Nutr, UMRS 1166,ICAN, F-75013 Paris, France

[28] Sorbonne Univ, Hop Pitie Salpetriere, AP HP, Serv Med Intens Reanimat,Inst Cardiol, F-75013 Paris, France

[29] Univ Libre Bruxelles, CHIREC Hosp, Dept Intens Care, Brussels, Belgium

[30] Sorbonne Univ, INSERM, UMRS115 Neurophysiol Resp Expt & Clin, Paris, France

[31] Sorbonne Univ, Grp Hosp Univ, AP HP, Serv Med Intens Reanimat,Dept R3S,Site Pitie Salp, Paris, France

[32] Shaare Zedek Med Ctr, Jerusalem, Israel

[33] Hebrew Univ Jerusalem, Fac Med, Jerusalem, Israel

[34] Univ Hlth Network, Toronto Gen Hosp Res Inst, Dept Med, Div Respirol & Crit Care, 32, Toronto, ON, Canada

[35] Univ Toronto, Inst Hlth Policy Management & Evaluat, Dept Med, Toronto, ON, Canada

[36] Univ Toronto, Inst Hlth Policy Management & Evaluat, Dept Physiol, Toronto, ON, Canada

[37] CHU Poitiers, Med Intens Reanimat, Poitiers, France

[38] Univ Poitiers, Fac Med & Pharm, INSERM, CIC 1402,IS ALIVE, Poitiers, France

[39] Univ Med Ctr Gottingen, Dept Anesthesiol, Gottingen, Germany

[40] Univ Lyon, Lyon, France

[41] Inst Mondor Rech Biomed, CNRS 7200, INSERM 955, Creteil, France

[42] Univ Toronto, Univ Hlth Network, Toronto Gen Res Inst, Inst Med Sci,Crit Care & Resp Med,Interdept Div C, Toronto, ON, Canada

[43] Monash Univ, Australian & New Zealand Intens Care Res Ctr, Sch Publ Hlth & Prevent Med, Melbourne, Australia

[44] Alfred Hlth, Dept Intens Care, Melbourne, Australia

[45] Oregon Hlth & Sci Univ, Div Pulm Allergy & Crit Care Med, Portland, OR USA

[46] Univ Montpellier, St Eloi Teaching Hosp, Anesthesia & Crit Care Dept DAR B, Res Unit PhyMedExp,CNRS,INSERM,U 1046,, F-34295 Montpellier, France

[47] Erasmus MC, Lab Translat Intens Care, Rotterdam, Netherlands

[48] Witten Herdecke Univ Hosp, Cologne Merheim Hosp, ARDS & ECMO Ctr, Dept Pneumol & Crit Care Med,Kliniken Stadt Koln, Cologne, Germany

[49] Univ Utrecht, Univ Med Ctr Utrecht, Dept Intens Care Med, Utrecht, Netherlands

[50] Makerere Univ, Sch Med, Dept Anesthesia & Intens Care, Coll Hlth Sci, Kampala, Uganda

来源：

INTENSIVE CARE MEDICINE | 2023年 / 49卷 / 07期

关键词：

Acute hypoxemic respiratory failure; Acute respiratory distress syndrome; Mechanical ventilation; Extracorporeal membrane oxygenation; Prone position; Non-invasive ventilation; Prognosis; Practice guidelines; ACUTE LUNG INJURY; END-EXPIRATORY PRESSURE; EXTRACORPOREAL MEMBRANE-OXYGENATION; NEUROMUSCULAR BLOCKING-AGENTS; FLOW NASAL OXYGEN; TIDAL VOLUME VENTILATION; NONINVASIVE VENTILATION; MECHANICAL VENTILATION; IMMUNOCOMPROMISED PATIENTS; RECRUITMENT MANEUVERS;

D O I：

10.1007/s00134-023-07050-7

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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.

引用

页码：727 / 759

页数：33

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