Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome

Publication Date: May 1, 2017
Last Updated: December 16, 2022

Recommendations

The ATS, ESICM, and SCCM recommend that adult patients with ARDS receive mechanical ventilation with strategies that limit tidal volumes (4–8 ml/kg predicted body weight –PBW2) and inspiratory pressures (plateau pressure <30 cm HO) (S, M)
620
The ATS, ESICM, and SCCM recommend that adult patients with severe ARDS receive prone positioning for >12 hours per day. (S, M)
620
The ATS, ESICM, and SCCM recommend that high-frequency oscillatory (HFOV) NOT be used routinely in patients with moderate or severe ARDS. (S, M)
620
The ATS, ESICM, and SCCM suggest that adult patients with moderate or severe ARDS receive higher rather than lower levels of positive end-expiratory pressure (PEEP). (C, M)
620
The ATS, ESICM, and SCCM suggest that adult patients with moderate or severe ARDS receive recruitment maneuvers (RMs). (C, L)
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Recommendation Grading

Disclaimer

Overview

Title

Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome

Authoring Organizations

Publication Month/Year

May 1, 2017

Last Updated Month/Year

November 21, 2022

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Target Patient Population

Adult patients with acute respiratory distress syndrome (ARDS)

Inclusion Criteria

Female, Male, Adult, Older adult

Health Care Settings

Emergency care, Hospital, Operating and recovery room

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Management

Diseases/Conditions (MeSH)

D012128 - Respiratory Distress Syndrome, Adult, D012122 - Ventilators, Mechanical

Keywords

acute respiratory distress syndrome, mechanical ventilation, critical care, ARDS