지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 76 - 100 (25page)
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초록· 키워드
오류제보하기
There is no well-stated practical guideline for mechanically ventilated patients with or without acute respiratory distress syndrome (ARDS). We generate strong (1) and weak (2) grade of recommendations based on high (A), moderate (B) and low (C) grade in the quality of evidence. In patients with ARDS, we recommend low tidal volume ventilation (1A) and prone position if it is not contraindicated (1B) to reduce their mortality. However, we did not support high-frequency oscillatory ventilation (1B) and inhaled nitric oxide (1A) as a standard treatment. We also suggest high positive end-expiratory pressure (2B), extracorporeal membrane oxygenation as a rescue therapy (2C), and neuromuscular blockage for 48 hours after starting mechanical ventilation (2B). The application of recruitment maneuver may reduce mortality (2B), however, the use of systemic steroids cannot reduce mortality (2B). In mechanically ventilated patients, we recommend light sedation (1B) and low tidal volume even without ARDS (1B) and suggest lung protective ventilation strategy during the operation to lower the incidence of lung complications including ARDS (2B). Early tracheostomy in mechanically ventilated patients can be performed only in limited patients (2A). In conclusion, of 12 recommendations, nine were in the management of ARDS, and three for mechanically ventilated patients.
목차
등록된 정보가 없습니다.
참고문헌 (169)
참고문헌 신청
Ashbaugh DG / 1967 / Acute respiratory distress in adults / Lancet 2:319~323
Ware LB / 2000 / The acute respiratory distress syndrome / N Engl J Med 342:1334~1349
ARDS Definition Task Force / 2012 / Acute respiratory distress syndrome: the Berlin Definition / JAMA 307:2526~2533
Bernard GR / 1994 / Report of the American-European Consensus conference on acute respiratory distress syndrome: definitions, mechanisms, relevant outcomes, and clinical trial coordination. Consensus Committee / J Crit Care 9:72~81
Rubenfeld GD / 2005 / Incidence and outcomes of acute lung injury / N Engl J Med 353:1685~1693
Ware LB / 2000 / The acute respiratory distress syndrome / N Engl J Med 342:1334~1349
ARDS Definition Task Force / 2012 / Acute respiratory distress syndrome: the Berlin Definition / JAMA 307:2526~2533
Bernard GR / 1994 / Report of the American-European Consensus conference on acute respiratory distress syndrome: definitions, mechanisms, relevant outcomes, and clinical trial coordination. Consensus Committee / J Crit Care 9:72~81
Rubenfeld GD / 2005 / Incidence and outcomes of acute lung injury / N Engl J Med 353:1685~1693
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