148 270

Cited 20 times in

Clinical Practice Guideline of Acute Respiratory Distress Syndrome

DC Field Value Language
dc.contributor.author정경수-
dc.date.accessioned2017-10-26T07:52:14Z-
dc.date.available2017-10-26T07:52:14Z-
dc.date.issued2016-
dc.identifier.issn1738-3536-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/152624-
dc.description.abstractThere 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.-
dc.description.statementOfResponsibilityopen-
dc.languageKorean-
dc.publisher대한결핵 및 호흡기학회-
dc.relation.isPartOfTUBERCULOSIS AND RESPIRATORY DISEASES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleClinical Practice Guideline of Acute Respiratory Distress Syndrome-
dc.typeArticle-
dc.publisher.locationKorea-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Internal Medicine-
dc.contributor.googleauthorYoung-Jae Cho-
dc.contributor.googleauthorJae Young Moon-
dc.contributor.googleauthorEin-Soon Shin-
dc.contributor.googleauthorJe Hyeong Kim-
dc.contributor.googleauthorHoon Jung-
dc.contributor.googleauthorSo Young Park-
dc.contributor.googleauthorHo Cheol Kim-
dc.contributor.googleauthorYun Su Sim-
dc.contributor.googleauthorChin Kook Rhee-
dc.contributor.googleauthorJaemin Lim-
dc.contributor.googleauthorSeok Jeong Lee-
dc.contributor.googleauthorWon-Yeon Lee-
dc.contributor.googleauthorHyun Jeong Lee-
dc.contributor.googleauthorSang Hyun Kwak-
dc.contributor.googleauthorEun Kyeong Kang-
dc.contributor.googleauthorKyung Soo Chung-
dc.contributor.googleauthorWon-Il Choi-
dc.contributor.googleauthorThe Korean Society of Critical Care Medicine-
dc.contributor.googleauthorThe Korean Academy of Tuberculosis and Respiratory Diseases Consensus Group-
dc.identifier.doi10.4046/trd.2016.79.4.214-
dc.contributor.localIdA03570-
dc.relation.journalcodeJ02761-
dc.identifier.eissn2005-6184-
dc.relation.journalsince2004~-
dc.identifier.pmid27790273-
dc.relation.journalbefore~2004 Tuberculosis and Respiratory Diseases (결핵 및 호흡기질환)-
dc.contributor.alternativeNameJung, Kyung Soo-
dc.contributor.affiliatedAuthorJung, Kyung Soo-
dc.citation.volume79-
dc.citation.number4-
dc.citation.startPage214-
dc.citation.endPage233-
dc.identifier.bibliographicCitationTUBERCULOSIS AND RESPIRATORY DISEASES, Vol.79(4) : 214-233, 2016-
dc.date.modified2017-10-24-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.