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[JAMA临床指南精要]:成年ARDS患者的治疗
2018年03月11日 指南导读, 进展交流 暂无评论

JAMA Clinical Guidelines Synopsis

February 20, 2018

Management of ARDS in Adults

Michael D. Howell, Andrew M. Davis

JAMA. 2018;319(7):711-712. doi:10.1001/jama.2018.0307

Guideline title 指南标题

Mechanical Ventilation in Adult Patients With Acute Respiratory Distress Syndrome

成年ARDS患者机械通气

Developer 指南制定者

American Thoracic Society (ATS)/European Society of Intensive Care Medicine (ESICM)/Society of Critical Care Medicine (SCCM)

美国胸科学会(ATS)/欧洲重症医学会(ESICM)/美国重症医学会(SCCM)

Release date 发布日期

May 1, 2017

2017年5月1日

Target population 目标人群

Hospitalized adults with acute respiratory distress syndrome (ARDS).

成年ARDS住院患者

Selected major recommendations 主要推荐意见

For all patients with ARDS: 对于所有ARDS患者

  • Use lower tidal volumes of 4 to 8 mL/kg per breath, calculated using predicted body weight (PBW) (strong recommendation; moderate confidence in effect estimate). 采用小潮气量4-8 ml/kg,根据理想体重(PBW)进行计算(强推荐;疗效预期中等可靠)

  • Use lower inspiratory pressures, targeting a plateau pressure <30 cm H2O (strong recommendation; moderate confidence). 采用较低的吸气压力,平台压<30 cm H2O(强推荐;疗效预期中等可靠)

For patients with severe ARDS (Pao2/Fio2 ratio <100): 对于严重ARDS患者(Pao2/Fio2 ratio <100)

  • Use prone positioning for at least 12 h/d (strong recommendation; moderate confidence). 采用俯卧位通气至少每天12小时(强推荐;疗效预期中等可靠)

  • Do not routinely use high-frequency oscillatory ventilation (strong recommendation; high confidence). 不应常规使用高频振荡通气(强推荐;疗效预期高度可靠)

  • Additional evidence is needed to recommend for or against the use of extracorporeal membrane oxygenation (ECMO) in severe ARDS. 需要更多证据推荐或反对严重ARDS患者使用ECMO

 

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